Individual
JENIFER SULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1736 HAMILTON ST, ALLENTOWN, PA 18104-5656
(484) 503-8281
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 503-8281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AS0400X
PA
Other
Enumeration date
09/23/2021
Last updated
11/07/2025
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