Individual
JEAN MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12732 FOWLER CIR, OMAHA, NE 68164-1725
(402) 681-3796
Mailing address
12732 FOWLER CIR, OMAHA, NE 68164-1725
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
G01273115
NE
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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