Individual
JESSIECA DANIELLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CPT
Contact information
Practice address
118 NORTH AVE STE J, JONESBORO, GA 30236-8408
(404) 203-7342
Mailing address
1953 VALLEY WOODS DR, RIVERDALE, GA 30296-1883
(404) 203-7342
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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