Sullivan, Jennifer Lynn

Sullivan, Jennifer Lynn is an individual health care provider with primary practice located at 1211 Union Ave Suite 300, Memphis TN 38104-6638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Sullivan, Jennifer Lynn can be contacted via phone (901) 448-2918.

Contact Information

Primary practice address
1211 Union Ave Suite 300 Memphis TN 38104-6638
Phone: (901) 448-2918
Fax: (901) 266-6427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 51617 Tennessee

Profile Details

NPI number 1952504938
LBN Legal business name Sullivan, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jun 22nd, 2016 - about 9 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 1952504938 NPPES
Mississippi MEDICAID 04125350
Mississippi Other 6021477
Mississippi MEDICAID Q008106
Mississippi MEDICAID 205257001

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