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Search › Wisconsin › 363LF0000X

Jessica Sullivan, NP

NPI 1134150022 · on the registry since 2006

Practice

Address
608 W Brown St
Waupun, WI 53963
Phone
(920) 324-6801
Fax
(920) 324-9765
Organisation at this address
Agnesian Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363L00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-13

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 Wisconsin