Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN SCOTT SULLIVAN, PA-C
ActiveJORDAN SCOTT SULLIVAN, PA-C is a Physician Assistant healthcare provider located in PRINCETON, New Jersey. NPI 1881126431 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PRINCETON, NJ
Registration Details
- NPI Number
- 1881126431
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2017 (9.3406685592956 yrs)
- Last Updated
- Oct 12, 2023
- Licenses
-
PA00968 (RI)25MP00670500 (NJ)
Practice Information
- Address
-
325 PRINCETON AVEPRINCETON, NJ, 085401617Browse NJ providers · Browse ZIP 08540
- Phone
- 6099248131
- Fax
- 6099248532
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PRINCETON, NJ
| Name | Credential | NPI |
|---|---|---|
| STEPHEN M KILLIAN | PA-C | 1841231826 |
| STEVEN P FRIES | PA-C | 1770518607 |
| MARCELLE S. ZEBUHR | PA-C | 1053326827 |
| LUCAS A. RYAN | PA-C | 1598771412 |
| MR. JOSEPH HAROLD THORNTON | PA-C | 1184793556 |
| GERARD G CASE | PA-C | 1992860480 |
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.