Individual provider · Type 1 NPI

Jessica M. Sullivan, CNP

Nurse Practitioner · Bloomington, IL

NPI number 1386951085 Active

Practice location

1405 Eastland Dr
Bloomington, IL 61701-3514

Fax (309) 661-6266

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209008299 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386951085

Jessica M. Sullivan, CNP's National Provider Identifier is 1386951085, issued on Sep 2, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bloomington, IL. The record was last updated on Aug 23, 2013.