Individual provider · Type 1 NPI

Jamie Sullivan, PA

Surgical Physician Assistant · Englewood, CO

NPI number 1104299759 Active

Practice location

175 Inverness Dr W
Englewood, CO 80112-5065

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-06053 (NC)
Medical Physician Assistant 363AM0700X5800 (CO)
Surgical Physician Assistant Primary 363AS0400X5800 (CO)

Surgical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1104299759

Jamie Sullivan, PA's National Provider Identifier is 1104299759, issued on Nov 4, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Englewood, CO. The record was last updated on Sep 9, 2024.