Individual provider · Type 1 NPI

Miklynn Raeanne Pearl Sullivan

Licensed Practical Nurse · Parkersburg, WV

NPI number 1265305635 Active

Practice location

425 Juliana St
Parkersburg, WV 26101-5352

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X190022 (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 1265305635

Miklynn Raeanne Pearl Sullivan's National Provider Identifier is 1265305635, issued on Sep 24, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Parkersburg, WV. The record was last updated on Sep 24, 2025.