Individual
JASMIN LIPAT SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8405 REYNOLDS DR, HUDSON, FL 34667-6922
(727) 313-7296
Mailing address
8405 REYNOLDS DR, HUDSON, FL 34667-6922
(727) 313-7296
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11027004
FL
363LC1500X
Community Health Nurse Practitioner
APRN11027004
FL
363LF0000X
Family Nurse Practitioner
APRN11027004
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11027004
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11027004
FL
Other
Enumeration date
06/19/2023
Last updated
02/06/2025
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