Individual
JENNIFER D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S COLLEGE ST, MARTINSBURG, WV 25401-3307
(304) 267-3595
Mailing address
109 S COLLEGE ST, MARTINSBURG, WV 25401-3307
(304) 267-3595
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
85270
WV
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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