Individual
JENNIFER A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 S. TAMIAMI TRAIL, VALVE CLINIC, SARASOTA, FL 34233-3509
(941) 917-6968
(941) 917-5437
Mailing address
1700 S. TAMIAMI TRAIL, VALVE CLINIC, SARASOTA, FL 34233-3509
(941) 917-6968
(941) 917-5437
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209006344
IL
Other
Enumeration date
10/25/2006
Last updated
05/10/2013
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