Individual
JENNIFER LYNN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 TAYLOR STATION RD STE 200, COLUMBUS, OH 43213-4470
(614) 627-1300
(614) 627-1304
Mailing address
150 TAYLOR STATION RD STE 200, COLUMBUS, OH 43213-4470
(614) 627-1300
(614) 627-1304
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.154816
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
51617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04125350
—
MS
05
—
205257001
—
AR
01
—
6021477
BCBS
TN
05
—
Q008106
—
TN
Enumeration date
06/07/2007
Last updated
04/14/2026
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