Individual provider · Type 1 NPI

Jordan Lynn Sullivan, RN

Registered Nurse · Vandenberg Afb, CA

NPI number 1073318499 Active

Practice location

338 S Dakota Ave Bldg 13850
Vandenberg Afb, CA 93437-6307

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95305963 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1073318499

Jordan Lynn Sullivan, RN's National Provider Identifier is 1073318499, issued on Feb 18, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Vandenberg Afb, CA. The record was last updated on Feb 18, 2025.