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Jessica Sullivan, CNP
NPI 1386951085 · on the registry since 2010
Practice
- Address
- 1405 Eastland Dr
Bloomington, IL 61701 - Phone
- (309) 661-2400
- Fax
- (309) 661-6266
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-23
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 Illinois