Sullivan, Jane Mary

Sullivan, Jane Mary is an sole proprietor health care provider with primary practice located at 1005 N Glebe Rd Ste 525 , Arlington VA 22201-5792. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sullivan, Jane Mary can be contacted via phone (804) 207-6737.

Contact Information

Primary practice address
1005 N Glebe Rd Ste 525 Arlington VA 22201-5792
Phone: (804) 207-6737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 163877 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024182114 Virginia

Profile Details

NPI number 1144490491
LBN Legal business name Sullivan, Jane Mary
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2008
Last updated Jul 20th, 2023 - about last year

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 1144490491 NPPES
Massachusetts Other 163877 RN

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