Search › Oregon › 363LF0000X
Heather Sullivan, FNP
NPI 1205383890 · on the registry since 2016
Practice
- Address
- 3265 Hillcrest Park Dr
Medford, OR 97504 - Phone
- (541) 275-6655
- Fax
- (541) 494-0945
- Organisation at this address
- Nisha Jackson Pc
Onepeak Southern Oregon Pc
Nisha Jackson Companies, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 110 10th St Se, Bandon, OR
- 910 S Central Ave, Medford, OR
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
163W00000X - Licence states on file
- AK, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-01
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 Oregon