# JENNIFER LYNN SULLIVAN

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

## Provider details

- **NPI number:** 1952504938
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35.154816 | OH | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 51617 | TN | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 04/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04125350 | — | MS |
| 05 | — | 205257001 | — | AR |
| 01 | — | 6021477 | BCBS | TN |
| 05 | — | Q008106 | — | TN |