Individual provider · Type 1 NPI
Jessica Jeanne Sullivan, NP
Gerontology Nurse Practitioner · Weymouth, MA
NPI number
1982142519
Active
Practice location
55 Fogg Rd
Weymouth, MA 02190-2432
Other practice locations
- 921 E 4th St, Boston, MA 02127-3214 · (617) 997-5904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2306549 (MA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN2306549 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1982142519
Jessica Jeanne Sullivan, NP's National Provider Identifier is 1982142519, issued on Feb 2, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Weymouth, MA. The record was last updated on Jun 10, 2021.