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Jeanetta Sullivan
Licensed Practical Nurse in Buffalo, New York
NPI 1013321736

Jeanetta Sullivan is a Licensed Practical Nurse based in Buffalo, NY. Jeanetta Sullivan practices in Buffalo, NY. The NPI Number for Jeanetta Sullivan is 1013321736 and holds a License No. 317937-1 (New York).

The current practice location address for Jeanetta Sullivan is 63 Davidson Ave, Buffalo, NY and can be reached out via phone at 716-907-6969.

Location: 63 Davidson Ave, Buffalo, NY, 14215-2305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013321736
Provider Name
Jeanetta Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
63 Davidson Ave, Buffalo, NY, 14215-2305
Phone Number
716-907-6969
Fax Number
Provider Enumeration Date
06/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
63 Davidson Ave
City
Buffalo
State
New York
Zip
14215-2305
Phone Number
716-907-6969
Fax Number
person
Provider Business Mailing Address Details
Address
63 Davidson Ave
City
Buffalo
State
New York
Zip
14215-2305
Phone Number
716-907-6969
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
317937-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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