Individual
JANA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4458 MEDICAL DR STE 705, SAN ANTONIO, TX 78229-3748
(210) 806-8250
(210) 806-8251
Mailing address
4458 MEDICAL DR STE 705, SAN ANTONIO, TX 78229-3748
(210) 806-8250
(214) 080-6825
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
661358
TX
367A00000X
Advanced Practice Midwife
Primary
AP114509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179591601
—
TX
Enumeration date
08/05/2006
Last updated
05/01/2026
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