Sullivan, Jessica

Sullivan, Jessica is an sole proprietor health care provider with primary practice located at 4813 Bristol Bay Way Apt 302 , Tampa FL 33619-3662. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Sullivan, Jessica can be contacted via phone (813) 562-8475.

Contact Information

Primary practice address
4813 Bristol Bay Way Apt 302 Tampa FL 33619-3662
Phone: (813) 562-8475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1891421186
LBN Legal business name Sullivan, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 2022 - about 3 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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