Individual
CRYSTAL JEAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
682 18TH AVE E STE A, DICKINSON, ND 58601-6320
(701) 829-3396
(701) 999-9045
Mailing address
682 18TH AVE E # SUITENA, DICKINSON, ND 58601-6320
(701) 829-3396
(701) 999-9045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN.0995068-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
R48527
ND
Other
Enumeration date
10/28/2019
Last updated
06/04/2026
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