Jacqueline Mary Sullivan
Jacqueline Mary Sullivan is a Registered Dietitian in Elkhorn, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
W3985 County Road NnElkhorn, WI 53121-4337
Phone: (262) 741-2145
Fax: (262) 741-2559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 685422 |
|---|
Record details
| NPI number | 1740511104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2010 |
| Last updated in NPPES | October 8, 2015 |
Other providers in Elkhorn
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Mr. Daniel J Clausen, RD, CD
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Miss. Alexandra Sharapova, MS, RD, CSO, CD
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Ashley Kate Stephens, RD
W3985 County Road Nn, Elkhorn, WI 53121-4337 · (262) 741-2102
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Kayla Vanbergen, RDN
W3985 County Road Nn, Elkhorn, WI 53121-4337 · (262) 741-2145
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Ka Lia Vang, RD
W3985 Country Road Nn, Elkhorn, WI 53121 · (262) 741-2102