Sullivan, Jana

Sullivan, Jana is an individual health care provider with primary practice located at 333 N Santa Rosa , San Antonio TX 78207-3108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Sullivan, Jana can be contacted via phone (713) 798-1750.

Contact Information

Primary practice address
333 N Santa Rosa San Antonio TX 78207-3108
Phone: (713) 798-1750
Fax: (713) 798-4693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 661358 Texas
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP114509 Texas

Profile Details

NPI number 1801805213
LBN Legal business name Sullivan, Jana
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Mar 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801805213 NPPES
Texas MEDICAID 179591601

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