Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN A. SULLIVAN, RDN, LD
Active Sole ProprietorJEAN A. SULLIVAN, RDN, LD is a Registered Dietitian healthcare provider located in BOWIE, Texas. NPI 1033428974 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BOWIE, TX
Registration Details
- NPI Number
- 1033428974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2010 (15.879830130719 yrs)
- Last Updated
- Aug 3, 2022
- License
-
DT05882 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1540 RHODES LNBOWIE, TX, 762307730Browse TX providers · Browse ZIP 76230
- Phone
- 4693072426
- Fax
- 4694205044
- Primary Specialty
-
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.