Jessica Sullivan

NPI #1114567351 in Nashport, Ohio

Provider Information

NPI Number
1114567351
Entity Type
Individual
Name
Jessica Sullivan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jan 15, 2020
Last Updated
Jan 15, 2020

Practice Location

Address
4854 DRAGOO RD
State
Ohio
ZIP Code
43830-9613
Phone
(740) 877-4688

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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