Individual provider · Type 1 NPI
Jennifer Kelly Sullivan
Student in an Organized Health Care Education/Training Program · Rancho Mission Viejo, CA
NPI number
1336054238
Active
Practice location
28881 Airoso St
Rancho Mission Viejo, CA 92694-2486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 95204976 (CA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 other providers at this address
About NPI 1336054238
Jennifer Kelly Sullivan's National Provider Identifier is 1336054238, issued on Aug 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rancho Mission Viejo, CA. The record was last updated on Aug 17, 2026.