Individual
JOHNNA KATHRYN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
312 S HENDERSON RD, KING OF PRUSSIA, PA 19406-2408
(610) 205-1264
Mailing address
312 S HENDERSON RD, KING OF PRUSSIA, PA 19406-2408
(610) 205-1264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F347007-01
NY
363LF0000X
Family Nurse Practitioner
Primary
SP023057
PA
Other
Enumeration date
01/11/2021
Last updated
01/25/2024
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