Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON SULLIVAN, RN
ActiveSHANNON SULLIVAN, RN is a Prescribing Psychologist healthcare provider located in TRACY, California. NPI 1922574920 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · TRACY, CA
Registration Details
- NPI Number
- 1922574920
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2018 (7.8445227953603 yrs)
- Last Updated
- May 3, 2025
- License
-
789456 (IA)
Practice Information
- Address
-
20 E EATON AVETRACY, CA, 953763100Browse CA providers · Browse ZIP 95376
- Phone
- 2095530737
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
- Additional Specialty
- Registered Nurse
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.