Individual
JAMIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HERITAGE CIR, HENDERSONVILLE, NC 28791-0713
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019970
NC
Other
Enumeration date
03/14/2024
Last updated
11/12/2025
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