Sullivan, Naomi Leigh

Sullivan, Naomi Leigh is an individual health care provider with primary practice located at 300 Health Park Blvd Ste 3002 , St Augustine FL 32086-3703. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Sullivan, Naomi Leigh can be contacted via phone (904) 819-1500.

Contact Information

Primary practice address
300 Health Park Blvd Ste 3002 St Augustine FL 32086-3703
Phone: (904) 819-1500
Fax: (904) 810-1023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 0024172420 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1487050621 Florida

Profile Details

NPI number 1487050621
LBN Legal business name Sullivan, Naomi Leigh
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2014
Last updated Oct 3rd, 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 1487050621 NPPES
Florida MEDICAID 016981400

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