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Jason Robert Sullivan, RN
Psychiatric/Mental Health Registered Nurse in Eureka, California
NPI 1235784646

Jason Robert Sullivan is a Psychiatric/Mental Health Registered Nurse based in Arcata, CA and is specialized in Psychiatric/Mental Health. Jason Robert Sullivan practices in Eureka, CA and has the professional credentials of RN. The NPI Number for Jason Robert Sullivan is 1235784646 and holds a License No. RN95135198 (California).

The current practice location address for Jason Robert Sullivan is 720 Wood St, Eureka, CA and can be reached out via phone at 707-268-2990.

Location: 720 Wood St, Eureka, CA, 95521-5864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235784646
Provider Name
Jason Robert Sullivan
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
720 Wood St, Eureka, CA, 95521-5864
Phone Number
707-268-2990
Fax Number
Provider Enumeration Date
08/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider Business Mailing Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
RN95135198 (California)
Definition
Definition to come...
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