Jacquelyn Marie Sullivan
NURSE PRACTITIONER | Nurse Practitioner - Acute Care
2301 Erwin Rd, Department Of Surgery, Durham
North Carolina, 27705-4699
919-864-8111
Jacquelyn Marie Sullivan is a Durham, North Carolina based nurse practitioner who is specialized as Acute Care nurse. Active license number of Jacquelyn Marie Sullivan is 08877 for Acute Care in Ohio. Her current practice location is 2301 Erwin Rd, Department Of Surgery, Durham. Patients can reach her at 919-864-8111. Jacquelyn Marie Sullivan is NURSE PRACTITIONER with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1912908740.
Jacquelyn Marie Sullivan is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Jacquelyn Marie Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacquelyn Marie Sullivan |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Practice Address: | 2301 Erwin Rd, Department Of Surgery, Durham,
North Carolina, 27705-4699 |
| Phone: | 919-864-8111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1912908740 |
| NPI Enumeration Date: | 02 Aug, 2005 |
| NPI Last Update On: | 16 Apr, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquelyn Marie Sullivan are as mentioned below.
| License Number | Specialization | State | Status | |
| 08877 | Acute Care | Ohio | Primary | |
| 08877 | Gerontology | Ohio | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacquelyn Marie Sullivan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200191600 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacquelyn Marie Sullivan
2301 Erwin Rd, Department Of Surgery
Durham, North Carolina |
| Zip: | 27705-4699 |
| Phone Number: | 919-864-8111 |
Patients can reach Jacquelyn Marie Sullivan at
2301 Erwin Rd, Department Of Surgery, Durham, North Carolina or can
call to book an appointment on 919-864-8111.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.