person
Jessica Jeanne Sullivan, MD
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1407458268

Jessica Jeanne Sullivan is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Jessica Jeanne Sullivan practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Jessica Jeanne Sullivan is 1407458268 and holds a License No. (New Mexico).

The current practice location address for Jessica Jeanne Sullivan is 2211 Lomas Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-272-3414.

Location: 2211 Lomas Blvd Ne, Albuquerque, NM, 87131-4728
person
Provider Profile Details
NPI Number
1407458268
Provider Name
Jessica Jeanne Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2211 Lomas Blvd Ne, Albuquerque, NM, 87131-4728
Phone Number
505-272-3414
Fax Number
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2211 Lomas Blvd Ne
City
State
Zip
87106-2719
Phone Number
505-272-3414
Fax Number
person
Provider Business Mailing Address Details
Address
2211 Lomas Blvd Ne
City
State
Zip
87106-2719
Phone Number
505-272-3414
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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