Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SULLIVAN, RN
Active Sole ProprietorKELLY SULLIVAN, RN is a Registered Nurse healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1730595752 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1730595752
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2014 (12.108594297535 yrs)
- Last Updated
- Jul 10, 2014
- License
-
676021-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 JACQUELINE CTPORT JEFFERSON STATION, NY, 117763117Browse NY providers · Browse ZIP 11776
- Phone
- 6319428510
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN PAULSON | — | 1962592949 |
| DONNA ROSEMARIE ELLIS-BREA | RN | 1528134053 |
| MRS. MARIE E WALSH | RN | 1013128271 |
| MRS. JEANNETTE LILLIAN RODGERS | RN | 1033309349 |
| MARY EMERSON | RN | 1225226681 |
| KERIANN MARIE GREEHY | LPN | 1609065911 |
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.