Jacquelyn Marie Sullivan, NURSE PRACTITIONER
NPI #1912908740 in Durham, North Carolina
Provider Information
- NPI Number
- 1912908740
- Entity Type
- Individual
- Name
- Jacquelyn Marie Sullivan, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Aug 2, 2005
- Last Updated
- Apr 16, 2017
Practice Location
- Address
- 2301 ERWIN RD
- Address 2
- DEPARTMENT OF SURGERY
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27705-4699
- Phone
- (919) 864-8111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
| Nurse Practitioner - Gerontology — Gerontology |
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