Individual
JAMIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
169 TEQUESTA DR STE 24E, TEQUESTA, FL 33469-4700
(561) 628-0111
Mailing address
169 TEQUESTA DR STE 24E, TEQUESTA, FL 33469-4700
(561) 628-0111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11007808
FL
363LF0000X
Family Nurse Practitioner
APRN11007808
FL
Other
Enumeration date
08/06/2020
Last updated
05/17/2023
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