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Jessica Sullenberger
NPI 1659588176 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1640 West Redstone Center Dr
Suite 200
Park City, UT 84098 - Phone
- (435) 776-7235
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
225200000X - Licence states on file
- FL, OH, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
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 Utah