MRS. JESSICA SULLIVAN (NPI# 1497380778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497380778 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA SULLIVAN |
| Credential | APNP |
| Practice Address |
2024 Willow Pond Way Grafton WI 53024-9101 |
| Practice Telephone | 7252391174 |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9871-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567351 | Jessica Sullivan | Licensed Practical Nurse | 4854 Dragoo Rd, Nashport, OH 43830-9613 | 2020-01-15 |
| 1205321775 | Jessica Marie Sullivan | Behavior Technician | 28 Laurel Rd, Milton, MA 02186-1522 | 2018-06-27 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1508265737 | Jessica Page Sullivan | Nurse Practitioner | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2014-08-13 |
| 1700217502 | Jessica Sullivan | Speech-Language Pathologist | 435 S Sunset Dr, El Centro, CA 92243-5553 | 2013-12-03 |
| 1699108944 | Jessica Nicole Sullivan | Occupational Therapist | 210 S County Road 675 W, North Vernon, IN 47265-7536 | 2013-08-09 |
| 1396085304 | Jessica C Sullivan | Social Worker | 360 State Route 17m, Suite 4, Monroe, NY 10950-3443 | 2013-02-28 |
| 1285994160 | Jessica Rea Sullivan | Social Worker | 15 Belcher St, Sharon, MA 02067-1305 | 2012-05-24 |
| 1336448984 | Jessica Marie Sullivan | Counselor | 6497 Parkland Dr Ste 103d, Sarasota, FL 34243-4097 | 2011-03-22 |
| 1063664134 | Jessica Lynn Sullivan | Physical Therapist | 7 Locust Dr, Greenwood Lake, NY 10925-2728 | 2008-10-21 |
| Street Address |
2024 WILLOW POND WAY |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003921 | Nicole Pack | Nurse Practitioner | 11220 Island Rd, Grafton, OH 44044-9000 | 2019-09-26 |
| 1114572641 | Kate Irene Wolf | Nurse Practitioner | 11 Rodnick St, Grafton, MA 01519-1104 | 2019-08-01 |
| 1053729160 | Telana Nicole Fairchild | Nurse Practitioner | 28 Grafton Common, Grafton, MA 01519 | 2014-08-01 |
| 1942451596 | Jody Rae Sharp | Nurse Practitioner | 701 West Sixth Street, Grafton, ND 58237-1379 | 2008-10-01 |
| 1992801617 | Judy K Lipscomb | Nurse Practitioner | 401 N Pike St, Grafton, WV 26354-1268 | 2006-09-16 |
| 1417932021 | Kathleen R Schweitzer | Nurse Practitioner | 701 W 6th St, Grafton, ND 58237-1379 | 2005-12-07 |
| 1205481405 | Dennis Nyagechanga Chakua | Nurse Practitioner | 164 W 13th St, Grafton, ND 58237-1826 | 2019-08-05 |
| 1447804497 | Krystal Ann Wright | Nurse Practitioner | 2855 Denbigh Blvd, Grafton, VA 23692-6501 | 2019-07-29 |
| 1750934816 | Amy Elizabeth Gutshall | Nurse Practitioner | 1 Hospital Plz, Grafton, WV 26354-1283 | 2019-07-18 |
| 1588141915 | Jamila Brown | Nurse Practitioner | 1113 W 11th St, Grafton, ND 58237-2139 | 2018-07-28 |
| Find all providers in GRAFTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.