Sullivan, Jessica Y

Sullivan, Jessica Y is an individual health care provider with primary practice located at 608 W Brown St , Waupun WI 53963-1702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Jessica Y can be contacted via phone (920) 324-6801.

Contact Information

Primary practice address
608 W Brown St Waupun WI 53963-1702
Phone: (920) 324-6801
Fax: (920) 324-9765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2867 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2867 Wisconsin

Profile Details

NPI number 1134150022
LBN Legal business name Sullivan, Jessica Y
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 13th, 2021 - about 4 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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