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Jeannette M Sullivan, FNP
Family Nurse Practitioner in Marshall, Michigan
NPI 1952419566

Jeannette M Sullivan is a Family Nurse Practitioner based in Marshall, MI and is specialized in Family. Jeannette M Sullivan practices in Marshall, MI and has the professional credentials of FNP. The NPI Number for Jeannette M Sullivan is 1952419566 and holds a License No. 4704196183 (Michigan).

The current practice location address for Jeannette M Sullivan is 203 Winston Dr, Marshall, MI and can be reached out via phone at 269-789-4380.

Location: 203 Winston Dr, Marshall, MI, 49068-8526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952419566
Provider Name
Jeannette M Sullivan
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
203 Winston Dr, Marshall, MI, 49068-8526
Phone Number
269-789-4380
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704196183 01 MI STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
203 Winston Dr
City
Marshall
State
Michigan
Zip
49068-8526
Phone Number
269-789-4380
Fax Number
person
Provider Business Mailing Address Details
Address
203 Winston Dr
City
Marshall
State
Michigan
Zip
49068-8526
Phone Number
269-789-4380
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704196183 (Michigan)
Definition
Definition to come...
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