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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA SULLIVAN, PA

Active

JESSICA SULLIVAN, PA is a Physician Assistant healthcare provider located in NEWARK, New York. NPI 1073849089 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NEWARK, NY

Registration Details

NPI Number
1073849089
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2009 (16.771100987386 yrs)
Last Updated
Jul 28, 2010
License
013672 (NY)

Practice Information

Address
1200 DRIVING PARK AVE
NEWARK, NY, 145131057
Browse NY providers · Browse ZIP 14513
Phone
3153322290
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in NEWARK, NY

Name Credential NPI
EMILY L DEBADTS PA 1114021805
MR. JOHN KOCH PA 1629151220
MR. BRUCE LEE PA 1689757288
NANCIE J REESE PA 1396819967
BRIANNE ALISSA HOWELL P.A. 1235427444
ELIZABETH SCHWENNKER PA-C 1568868560
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.