Individual provider · Type 1 NPI
Kelly Sullivan, RN
Registered Nurse · Port Jefferson Station, NY
Practice location
8 Jacqueline Ct
Port Jefferson Station, NY 11776-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 676021-1 (NY) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1730595752
Kelly Sullivan, RN's National Provider Identifier is 1730595752, issued on Jul 10, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 10, 2014.