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

Jacquelyn Marie Sullivan, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1912908740

Jacquelyn Marie Sullivan, NURSEPRACTITIONER is an Acute Care Nurse Practitioner in Durham, North Carolina. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
Specialties on file
2

Practice location Address checks out

2301 Erwin Rd Dept OF Surgery
Durham, NC 27705-4699
Phone: (919) 864-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 08877 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 08877 (OH)

Record details

NPI number1912908740
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESApril 16, 2017

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