Individual provider · Type 1 NPI
Mary Jean Sullivan, NP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1962687368
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 148881 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1962687368
Mary Jean Sullivan, NP's National Provider Identifier is 1962687368, issued on Jan 3, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jan 3, 2008.