Individual provider · Type 1 NPI

Jessica Sullivan

Licensed Practical Nurse · Nashport, OH

NPI number 1114567351 Active

Practice location

4854 Dragoo Rd
Nashport, OH 43830-9613

Call (740) 877-4688 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN.158250.MEDS-IV (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1114567351

Jessica Sullivan's National Provider Identifier is 1114567351, issued on Jan 15, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Nashport, OH. The record was last updated on Jan 15, 2020.