Individual provider · Type 1 NPI
Kelly Mary Sullivan
Nurse Practitioner · Beverly, MA
Practice location
195 Dodge St
Beverly, MA 01915-1244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN2348656 (MA) |
| Nurse Practitioner Primary | 363L00000X | RN2348656 (MA) |
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 1841112166
Kelly Mary Sullivan's National Provider Identifier is 1841112166, issued on Jul 28, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beverly, MA. The record was last updated on Aug 2, 2026.