Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE MARY SULLIVAN
Active Sole ProprietorJACQUELINE MARY SULLIVAN is a Registered Dietitian healthcare provider located in ELKHORN, Wisconsin. NPI 1740511104 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · ELKHORN, WI
Registration Details
- NPI Number
- 1740511104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2010 (16.509278759302 yrs)
- Last Updated
- Oct 8, 2015
- License
-
685422
- Sole Proprietor
- Yes
Practice Information
- Address
-
W3985 COUNTY ROAD NNELKHORN, WI, 531214337Browse WI providers · Browse ZIP 53121
- Phone
- 2627412145
- Fax
- 2627412559
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in ELKHORN, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. SAMANTHA ROSEMARY SCHLEIGER | MS, RD, CD | 1710359351 |
| KAYLA VANBERGEN | RDN | 1710435037 |
| MISS ALEXANDRA SHARAPOVA | MS, RD, CSO, CD | 1881202919 |
| MR. DANIEL J CLAUSEN | RD, CD | 1922748839 |
| KA LIA VANG | RD | 1598480527 |
| ASHLEY KATE STEPHENS | RD | 1194419804 |
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.