Individual provider · Type 1 NPI

Jessica Jane Sullivan, PA-C

Physician Assistant · Nutley, NJ

NPI number 1982187142 Active

Practice location

115 Franklin Ave
Nutley, NJ 07110-2924

Mailing address

23 W Parkway
Pequannock, NJ 07440-1709

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00486200 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1982187142

Jessica Jane Sullivan, PA-C's National Provider Identifier is 1982187142, issued on Sep 12, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nutley, NJ. The record was last updated on Sep 12, 2018.