JESSICA PAGE SULLIVAN (NPI# 1508265737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508265737 |
| Entity Type | Individual |
| Full Name | JESSICA PAGE SULLIVAN |
| Other Name | JESSICA LYNNE PAGE |
| Credential | CRNP-PMH |
| Practice Address |
10 W Madison St Ste 11 Baltimore MD 21201 |
| Mailing Address |
10 W Madison St Ste 11 Baltimore MD 21201-2313 |
| Practice Telephone | 4434387863 |
| Mailing Telephone | 4434387863 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R192427 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 086453600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13639 Baltimore Ave, Laurel, MD 207075095 | 3016044830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380778 | Jessica Sullivan | Nurse Practitioner | 2024 Willow Pond Way, Grafton, WI 53024-9101 | 2020-03-07 |
| 1114567351 | Jessica Sullivan | Licensed Practical Nurse | 4854 Dragoo Rd, Nashport, OH 43830-9613 | 2020-01-15 |
| 1205321775 | Jessica Marie Sullivan | Behavior Technician | 28 Laurel Rd, Milton, MA 02186-1522 | 2018-06-27 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1700217502 | Jessica Sullivan | Speech-Language Pathologist | 435 S Sunset Dr, El Centro, CA 92243-5553 | 2013-12-03 |
| 1699108944 | Jessica Nicole Sullivan | Occupational Therapist | 210 S County Road 675 W, North Vernon, IN 47265-7536 | 2013-08-09 |
| 1396085304 | Jessica C Sullivan | Social Worker | 360 State Route 17m, Suite 4, Monroe, NY 10950-3443 | 2013-02-28 |
| 1285994160 | Jessica Rea Sullivan | Social Worker | 15 Belcher St, Sharon, MA 02067-1305 | 2012-05-24 |
| 1336448984 | Jessica Marie Sullivan | Counselor | 6497 Parkland Dr Ste 103d, Sarasota, FL 34243-4097 | 2011-03-22 |
| 1063664134 | Jessica Lynn Sullivan | Physical Therapist | 7 Locust Dr, Greenwood Lake, NY 10925-2728 | 2008-10-21 |
| Street Address |
10 W MADISON ST STE 11 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505076 | Complete Wellness, Inc. | Psychologist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-07-14 |
| 1265067631 | Joshua Kleiner | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-03-06 |
| 1447881560 | Joseph Salvatore | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2020-01-28 |
| 1790329894 | Complete Wellness Recovery, Inc | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2019-10-31 |
| 1417458274 | Douglas A Frew | Psychologist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2018-02-26 |
| 1053821827 | Complete Wellness, Inc. | Nutritionist | 10 W Madison St Ste 11, Baltimore, MD 21201-2313 | 2017-10-06 |
| 1013426071 | Donald Edward Dolan | Counselor | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2017-09-21 |
| 1003205907 | Home Free Iop | Community/Behavioral Health | 10 W Madison St Ste 11, Baltimore, MD 21201-5239 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
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| 1922623891 | A Platform To Healthcare | Nurse Practitioner | 2701 E Monument St Ste 102, Baltimore, MD 21205-2632 | 2020-06-16 |
| 1740804749 | Lawretta Orobosa Jinadu | Nurse Practitioner | 950 Southerly Rd, Baltimore, MD 21204-2756 | 2020-06-04 |
| 1205458536 | Raphael Ernest Gikonyo | Nurse Practitioner | 100 Walnut Ave, Baltimore, MD 21206-1032 | 2020-05-08 |
| 1336768787 | Sylvianne Akum | Nurse Practitioner | 7531 Roxy Dr, Baltimore, MD 21244-2064 | 2020-04-15 |
| 1801444716 | Fore Counselling Health Centre | Nurse Practitioner | 821 N Eutaw St Ste 202, Baltimore, MD 21201-6302 | 2019-09-04 |
| 1659929487 | Malama Medical, LLC | Nurse Practitioner | 34 York Ct, Baltimore, MD 21218-1248 | 2019-08-26 |
| 1679128680 | Catherine O Nwah | Nurse Practitioner | 6416 Martinique Rd, Baltimore, MD 21237-2046 | 2019-08-06 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| Find all providers in BALTIMORE | ||||
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| 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.