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Jacquelyn Marie Sullivan, NURSEPRACTITIONER
Gerontology Nurse Practitioner in Durham, North Carolina
NPI 1912908740

Jacquelyn Marie Sullivan is a Gerontology Nurse Practitioner based in Durham, NC and is specialized in Gerontology. Jacquelyn Marie Sullivan practices in Durham, NC and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jacquelyn Marie Sullivan is 1912908740 and holds a License No. 08877 (North Carolina).

The current practice location address for Jacquelyn Marie Sullivan is 2301 Erwin Rd, Durham, NC and can be reached out via phone at 919-864-8111. You can also correspond with Jacquelyn Marie Sullivan through the mailing address at 2301 ERWIN RD, DURHAM, NC - 27705-4699 (mailing address contact number: 919-864-8111).

Location: 2301 Erwin Rd, Durham, NC, 27705-4699
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Provider Profile Details
NPI Number
1912908740
Provider Name
Jacquelyn Marie Sullivan
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
2301 Erwin Rd, Durham, NC, 27705-4699
Phone Number
919-864-8111
Fax Number
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200191600 05 IN
institution
Provider Business Practice Location Address Details
Address
2301 Erwin Rd
City
State
Zip
27705-4699
Phone Number
919-864-8111
Fax Number
person
Provider Business Mailing Address Details
Address
2301 Erwin Rd
City
State
Zip
27705-4699
Phone Number
919-864-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
08877 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
08877 (Ohio)
Definition
Definition to come...
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