Individual provider · Type 1 NPI

Ann Nicole Sullivan, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1073609707 Active

Practice location

1301 Palm Ave
Jacksonville, FL 32207-8432

Call (904) 202-7300 Map

Fax (904) 202-2754

Mailing address

PO Box 746654
Atlanta, GA 30374-6654

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA3713 (CO)
Surgical Physician Assistant 363AS0400XPA9113026 (FL)
Physician Assistant Primary 363A00000XPA9113026 (FL)
Physician Assistant 363A00000XPA03286 (TX)
Medical Physician Assistant 363AM0700XPA3713 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073609707

Ann Nicole Sullivan, PA-C's National Provider Identifier is 1073609707, issued on Oct 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2025.