Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Sullivan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174325211

Jack Sullivan, MD is a Student in an Organized Health Care Education/Training Program in Seattle, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 16th Ave Ste 100
Seattle, WA 98122-5636
Phone: (120) 632-0248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174325211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address550 16th Ave Ste 400, Seattle, WA 98122-5636

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