Sullivan, Jo M

Sullivan, Jo M is an individual health care provider with primary practice located at 3601 S. 6Th Ave , Tucson AZ 85723. 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 / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Sullivan, Jo M can be contacted via phone (520) 629-1838.

Contact Information

Primary practice address
3601 S. 6Th Ave Tucson AZ 85723
Phone: (520) 629-1838
Fax: (520) 629-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 105958 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 105958 Arizona

Profile Details

NPI number 1043240328
LBN Legal business name Sullivan, Jo M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Feb 20th, 2015 - 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 1043240328 NPPES
Arizona MEDICAID 864357

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