MRS. JENNIFER WILCOX SULLIVAN (NPI# 1255671418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255671418 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER WILCOX SULLIVAN |
| Credential | RN |
| Practice Address |
219 Princeton Rd Johnson City TN 37601-2052 |
| Practice Telephone | 4239792200 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN0000151643 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907232 | Jennifer Sullivan | Massage Therapist | 82884 N Pacific Hwy, Creswell, OR 97426-9407 | 2020-09-21 |
| 1033778360 | Jennifer Sullivan | Registered Nurse | 3703 Stearns Hill Rd, Waltham, MA 02451-7134 | 2019-06-11 |
| 1558820290 | Jennifer Sullivan | Specialist/Technologist | 6799 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-03-12 |
| 1043780364 | Jennifer P Sullivan | Lactation Consultant, Non-RN | 33 Arlington Ave Ste 4, Poughkeepsie, NY 12603-1603 | 2018-11-29 |
| 1942750484 | Jennifer Sullivan | Physical Therapy Assistant | 518 Phillips Rd # A, Levant, ME 04456-4446 | 2016-10-07 |
| 1770953051 | Jennifer Sullivan | Occupational Therapy Assistant | 3815 W Mason Rd, Deer Park, WA 99006-9511 | 2015-09-30 |
| 1720470552 | Jennifer M Sullivan | Specialist | 88 Slocum Ave, Tappan, NY 10983-2610 | 2015-03-03 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1164778635 | Jennifer Sullivan | Early Intervention Provider Agency | 51 Churchill Ln, Smithtown, NY 11787-4039 | 2012-08-02 |
| 1881956472 | Jennifer Sullivan | Specialist | 4663 189th St, Flushing, NY 11358-3834 | 2012-06-11 |
| Street Address |
219 PRINCETON RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316967144 | Susan Miranda Peoples | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2006-07-21 |
| 1083239172 | Heather Marie Tester | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-15 |
| 1376168559 | Nikki Marie Wright | Dental Assistant | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2020-06-12 |
| 1114564168 | Ashley Lyons | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-12-09 |
| 1871140194 | Rachel Miller | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-08-21 |
| 1598328320 | Rachel Denise Hobbs | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-17 |
| 1447712179 | Sarah Elizabeth Boop | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-02 |
| 1306347349 | Amy Shelton | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-26 |
| 1487154019 | Amanda F Boone | Licensed Practical Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-20 |
| 1700394335 | Leslie 'nikki' Nichole Morris | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588031124 | Elizabeth Dove | Registered Nurse | 185 Treasure Ln, Johnson City, TN 37604-7816 | 2015-08-31 |
| 1417096108 | Donna Ann Pleasant | Registered Nurse | 415 North State of Franklin Road, Johnson City, TN 37604 | 2007-02-06 |
| 1780723171 | Martha Patton Brown | Registered Nurse | 1911 Fairway Dr, 1233 Southwest Ave, Johnson City, TN 37601-2264 | 2007-02-05 |
| 1851439368 | Maureen Burniston | Registered Nurse | 1233 Southwest Ave Extension, Johnson City, TN 37604-6519 | 2007-02-05 |
| 1114564168 | Ashley Lyons | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-12-09 |
| 1871140194 | Rachel Miller | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-08-21 |
| 1598328320 | Rachel Denise Hobbs | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-17 |
| 1447712179 | Sarah Elizabeth Boop | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2019-04-02 |
| 1306347349 | Amy Shelton | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-02-26 |
| 1700394335 | Leslie 'nikki' Nichole Morris | Registered Nurse | 219 Princeton Rd, Johnson City, TN 37601-2052 | 2018-01-17 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on MRS. JENNIFER WILCOX SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.