Search › Ohio › 164W00000X
Jaclynn Sullivan
NPI 1013438126 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5559 Raiders Road
Frazeysburg, OH 43822 - Phone
- (740) 828-2498
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio