Jessica M Sullivan, CNP
NPI #1386951085 in Bloomington, Illinois
Provider Information
- NPI Number
- 1386951085
- Entity Type
- Individual
- Name
- Jessica M Sullivan, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CNP
- Enumeration Date
- Sep 2, 2010
- Last Updated
- Aug 23, 2013
Practice Location
- Address
- 1405 EASTLAND DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3514
- Phone
- (309) 661-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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