Sullivan, Jessica

Sullivan, Jessica is an individual health care provider with primary practice located at 1200 Driving Park Ave , Newark NY 14513-1057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sullivan, Jessica can be contacted via phone (315) 332-2290.

Contact Information

Primary practice address
1200 Driving Park Ave Newark NY 14513-1057
Phone: (315) 332-2290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 013672 New York

Profile Details

NPI number 1073849089
LBN Legal business name Sullivan, Jessica
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Jul 28th, 2010 - about 16 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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