Individual provider · Type 1 NPI

Kerry O'Sullivan

Nurse Practitioner · San Diego, CA

NPI number 1043776495 Active

Practice location

3350 La Jolla Village Dr
San Diego, CA 92161

Mailing address

5663 Balboa Ave # 337
San Diego, CA 92111-2705

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0994296 (CO)
Nurse Practitioner 363L00000X95009644 (CA)

Nurse Practitioner: (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 wit…

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About NPI 1043776495

Kerry O'Sullivan's National Provider Identifier is 1043776495, issued on Feb 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 11, 2019.