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James Keith Sullivan, FNP
Family Nurse Practitioner in Fairfax, Virginia
NPI 1952933053

James Keith Sullivan is a Family Nurse Practitioner based in Baltimore, VA and is specialized in Family. James Keith Sullivan practices in Fairfax, VA and has the professional credentials of FNP. The NPI Number for James Keith Sullivan is 1952933053 and holds a License No. 27036 (Virginia).

The current practice location address for James Keith Sullivan is 8081 Innovation Park Dr Ste 602, Fairfax, VA and can be reached out via phone at 571-472-3270 and via fax at 571-472-3271.

Location: 8081 Innovation Park Dr Ste 602, Fairfax, VA, 21297-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952933053
Provider Name
James Keith Sullivan
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
8081 Innovation Park Dr Ste 602, Fairfax, VA, 21297-3174
Phone Number
571-472-3270
Fax Number
571-472-3271
Provider Enumeration Date
02/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8081 Innovation Park Dr Ste 602
City
Fairfax
State
Virginia
Zip
22031-4867
Phone Number
571-472-3270
Fax Number
571-472-3271
person
Provider Business Mailing Address Details
Address
8081 Innovation Park Dr Ste 602
City
Fairfax
State
Virginia
Zip
22031-4867
Phone Number
571-472-3270
Fax Number
571-472-3271
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
0024179997 (Virginia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
27036 (Tennessee)
Definition
Definition to come...
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