Individual provider · Type 1 NPI
Jaclyn Emma Sullivan, NP-C
Gerontology Nurse Practitioner · Emerson, NJ
NPI number
1730644873
Active
Practice location
466 Old Hook Rd Ste 1
Emerson, NJ 07630-1368
Fax (201) 967-0340
Mailing address
44 Dearborn Dr
Old Tappan, NJ 07675-7321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG01190175 (NJ) |
| Adult Health Nurse Practitioner | 363LA2200X | AG01190175 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
19 other providers at this address
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- Christine M. Roque-Dang, DOPhysical Medicine & Rehabilitation Physician Emerson, NJ NPI 1851527543
- Dawn Sheafe, APRNFamily Nurse Practitioner Emerson, NJ NPI 1386978278
- Deana Teplitsky Nes, DORheumatology Physician Emerson, NJ NPI 1851710040
- Erica Michelle Rosenbaum, MDInternal Medicine Physician Emerson, NJ NPI 1881895639
- Eui KimFamily Nurse Practitioner Emerson, NJ NPI 1063771202
- Felicia M. RajuFamily Medicine Physician Emerson, NJ NPI 1568154664
- Jaclyn M. Heuer, NP-CAdult Health Nurse Practitioner Emerson, NJ NPI 1215256516
- Janelle Amanda Yee, MDEndocrinology, Diabetes & Metabolism Physician Emerson, NJ NPI 1215348370
- Jenny Soledad Ayala, MDInternal Medicine Physician Emerson, NJ NPI 1770845430
- Maria Christina Rosalie, MDObstetrics & Gynecology Physician Emerson, NJ NPI 1609168079
About NPI 1730644873
Jaclyn Emma Sullivan, NP-C's National Provider Identifier is 1730644873, issued on Feb 3, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Emerson, NJ. The record was last updated on Aug 10, 2026.