Individual
MRS. HOLLY JARRELL O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 DUKE MEDICINE CIR # 1L, DURHAM, NC 27710-4000
(919) 684-5895
(919) 660-3853
Mailing address
DUMC 3403, DURHAM, NC 27710
(919) 684-5895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05951
NC
363AM0700X
Medical Physician Assistant
0010-05951
NC
Other
Enumeration date
11/01/2015
Last updated
12/09/2016
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