Sullivan, Jennifer Diane

Sullivan, Jennifer Diane is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Sullivan, Jennifer Diane can be contacted via phone (704) 355-2171.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (704) 355-2171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2021-03325 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2021-03325 North Carolina

Profile Details

NPI number 1992748982
LBN Legal business name Sullivan, Jennifer Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 15th, 2024 - about 2 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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