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Jennifer Mae Sullivan, WHNP
Women's Health Nurse Practitioner in Fridley, Minnesota
NPI 1053584789

Jennifer Mae Sullivan is a Women's Health Nurse Practitioner based in Minneapolis, MN and is specialized in Women's Health. Jennifer Mae Sullivan practices in Fridley, MN and has the professional credentials of WHNP. The NPI Number for Jennifer Mae Sullivan is 1053584789 and holds a License No. R1564338 (Minnesota).

The current practice location address for Jennifer Mae Sullivan is 500 Osborne Rd Ne, Fridley, MN and can be reached out via phone at 763-786-6011.

Location: 500 Osborne Rd Ne, Fridley, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053584789
Provider Name
Jennifer Mae Sullivan
Credential
WHNP
Provider Entity Type
Individual
Gender
Female
Address
500 Osborne Rd Ne, Fridley, MN, 55407-1321
Phone Number
763-786-6011
Fax Number
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2774
Phone Number
763-786-6011
Fax Number
person
Provider Business Mailing Address Details
Address
500 Osborne Rd Ne
City
Fridley
State
Minnesota
Zip
55432-2774
Phone Number
763-786-6011
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
R1564338 (Minnesota)
Definition
Definition to come...
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