JEANNETTE M SULLIVAN (NPI# 1952419566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952419566 |
| Entity Type | Individual |
| Full Name | JEANNETTE M SULLIVAN |
| Credential | FNP |
| Practice Address |
203 Winston Dr Marshall MI 49068-8526 |
| Practice Telephone | 2697894380 |
| Mailing Telephone | 2697894380 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704196183 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE NUMBER | 4704196183 | 01 |
| Street Address |
203 WINSTON DR |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-8526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467438549 | Cynthia Caparros Abacan | Internal Medicine | 203 Winston Dr, Marshall, MI 49068-8526 | 2005-12-20 |
| 1932538428 | Dermatology & Skin Surgery Center | Clinic/Center | 203 Winston Dr, Marshall, MI 49068-8526 | 2013-11-05 |
| 1922362656 | Paul Aschmetat | Orthopaedic Surgery | 203 Winston Dr, Marshall, MI 49068-8526 | 2012-06-27 |
| 1306045257 | David Andrew Swender | Allergy & Immunology | 203 Winston Dr, Marshall, MI 49068-8526 | 2007-07-12 |
| 1821210857 | Sumita Saha | Surgery | 203 Winston Dr, Marshall, MI 49068-8526 | 2007-05-02 |
| 1093899825 | Thomas Harris | Specialist | 203 Winston Dr, Marshall, MI 49068-8526 | 2006-10-25 |
| 1558335299 | Kurt Rudiger Piatkowski | Orthopaedic Surgery | 203 Winston Dr, Marshall, MI 49068-8526 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers in zip 49068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578190088 | Michelle Ann Orange | Nurse Practitioner | 230 Wagon Trl, Marshall, AR 72650-7002 | 2020-03-25 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1679135958 | Bernice Alice Theule | Nurse Practitioner | 111 S Hamilton St, Marshall, MI 49068-1537 | 2019-07-08 |
| 1891207379 | Amy Ellen Jean Howell | Nurse Practitioner | 1174 W Michigan Ave Ste B, Marshall, MI 49068-1625 | 2017-10-24 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| 1669786216 | Pamela Madden Frisby | Nurse Practitioner | 4401 Us Hwy 25/70, Marshall, NC 28753 | 2010-08-05 |
| 1427293067 | Diane Marie Weinreich | Nurse Practitioner | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2008-12-11 |
| Find all providers in MARSHALL | ||||
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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.