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

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2306549 (MA)
Gerontology Nurse Practitioner Primary 363LG0600XRN2306549 (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.