# ANN NICOLE SULLIVAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073609707
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA03286 | TX | — |
| 363A00000X | Physician Assistant | PA9113026 | FL | Yes |
| 363AM0700X | Medical Physician Assistant | PA3713 | CO | — |
| 363AS0400X | Surgical Physician Assistant | PA3713 | CO | — |
| 363AS0400X | Surgical Physician Assistant | PA9113026 | FL | — |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 07/08/2025