Active NPIIndividual provider

Mrs. Jessica G Sullivan

Technician, Other in Boston, Massachusetts

NPI Number1285840603
Practice location
495 Summer St, Boston Meps, 4TH Floor, Boston, MA 02210-2109
Fax
—
Last updated
July 8, 2007

Jessica Gwenhwyvar Sullivan is a Technician, Other based in Boston, MA. Jessica Gwenhwyvar Sullivan practices in Boston, MA. The NPI Number for Jessica Gwenhwyvar Sullivan is 1285840603. The current practice location address for Jessica Gwenhwyvar Sullivan is 495 Summer St, Boston Meps, 4TH Floor, Boston, MA 02210-2109 and can be reached out via phone at 617-753-3113.

Provider Profile Details

NPI Number
1285840603
Provider Name
Jessica Gwenhwyvar Sullivan
Provider Entity Type
Individual
Gender
Female
Address
495 Summer St, Boston Meps, 4TH Floor, Boston, MA 02210-2109
Phone Number
617-753-3113
Primary Taxonomy
Technician, Other · 247200000X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
495 Summer St
Boston Meps, 4TH Floor
Boston, MA 02210-2109
City
Boston
Zip
02210-2109
Phone Number
617-753-3113
Boston, MA 02210Get directions →

Provider Business Mailing Address Details

Address
495 Summer Street
Boston Meps, 4TH Floor
Boston, MA 01721
City
Boston
State
MA
Zip
01721
Phone Number
617-753-3113

License Information

Taxonomy
Technician, Other · 247200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jessica G Sullivan?

The NPI number of Mrs. Jessica G Sullivan is 1285840603. It was assigned on May 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica G Sullivan?

Mrs. Jessica G Sullivan is registered under the primary taxonomy Technician, Other (code 247200000X).

Where does Mrs. Jessica G Sullivan practice?

The practice location is 495 Summer St, Boston Meps, 4TH Floor, Boston, MA 02210-2109. The office can be reached at 617-753-3113 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285840603 directly on the NPPES registry website.

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