Jaclynn Sullivan
NPI #1013438126 in Frazeysburg, Ohio
Provider Information
- NPI Number
- 1013438126
- Entity Type
- Individual
- Name
- Jaclynn Sullivan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jun 28, 2017
- Last Updated
- Jun 28, 2017
Practice Location
- Address
- 5559 RAIDERS ROAD
- City
- Frazeysburg
- State
- Ohio
- ZIP Code
- 43822
- Phone
- (740) 828-2498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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