Ann N. Sullivan PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Ann Nicole Sullivan PA-C
NPI Number
1073609707
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/04/2006
Specialties
(Taxonomies)Code
363A00000X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
Licenses
State
Colorado
Florida
Texas
License Number
PA3713
PA9113026
PA03286
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 746654
1301 PALM AVE
City
Atlanta
Jacksonville
State
GA
FL
Postal Code
30374-6654
32207-8432
Country
US
US
Telephone Number
(904) 202-2092
(904) 202-7300
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/31/2022
Provider Address
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