Active NPIIndividual providerSole proprietor

Jessica J Sullivan, NP

Nurse Practitioner, Gerontology in Weymouth, Massachusetts

NPI Number1982142519
Practice location
55 Fogg RD, Weymouth, MA 02190-2432
Fax
—
Last updated
June 10, 2021

Jessica Jeanne Sullivan is a Nurse Practitioner, Gerontology based in Weymouth, MA. Jessica Jeanne Sullivan practices in Weymouth, MA and has the professional credentials of NP. The NPI Number for Jessica Jeanne Sullivan is 1982142519 and holds a License No. RN2306549 (MA). The current practice location address for Jessica Jeanne Sullivan is 55 Fogg RD, Weymouth, MA 02190-2432 and can be reached out via phone at 781-624-8000.

Provider Profile Details

NPI Number
1982142519
Provider Name
Jessica Jeanne Sullivan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
55 Fogg RD, Weymouth, MA 02190-2432
Phone Number
781-624-8000
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Other Names
Ms. Jessica Jeanne Sullivan, RN (Other Name)
Provider Enumeration Date
February 2, 2017
Last Update Date
June 10, 2021
Certification Date
May 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fogg RD
Weymouth, MA 02190-2432
Zip
02190-2432
Phone Number
781-624-8000
Weymouth, MA 02190Get directions →

Provider Business Mailing Address Details

Address
55 Fogg RD
Weymouth, MA 02190-2432
City
Weymouth
State
MA
Zip
02190-2432
Phone Number
781-624-8000

License Information

License Number (1)
RN2306549
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2306549
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Gerontology providers near Weymouth, MA

View all Nurse Practitioner, Gerontology providers in Weymouth →

Frequently Asked Questions

What is the NPI number of Jessica J Sullivan, NP?

The NPI number of Jessica J Sullivan, NP is 1982142519. It was assigned on February 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Jessica J Sullivan, NP?

Jessica J Sullivan, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number RN2306549.

Where does Jessica J Sullivan, NP practice?

The practice location is 55 Fogg RD, Weymouth, MA 02190-2432. The office can be reached at 781-624-8000 (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 1982142519 directly on the NPPES registry website.

Browse related providers