Individual
JAMIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Contact information
Practice address
2101 GARNER RD, RALEIGH, NC 27610-0114
(919) 787-6131
(919) 571-2932
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6131
(919) 571-2932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236954
NC
363LF0000X
Family Nurse Practitioner
Primary
5010465
NC
Other
Enumeration date
04/09/2018
Last updated
03/31/2026
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