Individual provider · Type 1 NPI

Jillian Ann Sullivan, APRN

Adult Health Nurse Practitioner · Farmington, CT

NPI number 1639423734 Active

Practice location

263 Farmington Ave, Internal Medicine
Farmington, CT 06030-2212

Call (860) 679-4477 Map

Fax (860) 679-4474

Mailing address

236 Shagbark Dr
Bristol, CT 06010-3220

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	005128 (CT)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1639423734

Jillian Ann Sullivan, APRN's National Provider Identifier is 1639423734, issued on Oct 29, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Farmington, CT. The record was last updated on Feb 5, 2013.