Individual
JENNIFER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-9564
Mailing address
93 E HIGHLAND AVE, ATLANTIC HIGHLANDS, NJ 07716-1351
(732) 391-5109
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303005
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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