Individual provider · Type 1 NPI
Jacquelyn Marie Sullivan, NURSE PRACTITIONER
Acute Care Nurse Practitioner · Durham, NC
NPI number
1912908740
Active
Practice location
2301 Erwin Rd, Department Of Surgery
Durham, NC 27705-4699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 08877 (OH) |
| Gerontology Nurse Practitioner | 363LG0600X | 08877 (OH) |
Acute Care Nurse Practitioner: Definition to come...
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- Stephanie Diana Clune, AGACNP-BCAcute Care Nurse Practitioner Durham, NC NPI 1063121960
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About NPI 1912908740
Jacquelyn Marie Sullivan, NURSE PRACTITIONER's National Provider Identifier is 1912908740, issued on Aug 2, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Durham, NC. The record was last updated on Apr 16, 2017.