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

Jeanetta Sullivan

Individual provider Licensed Practical Nurse · NPI 1013321736

Jeanetta Sullivan is a Licensed Practical Nurse in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

63 Davidson Ave
Buffalo, NY 14215-2305
Phone: (716) 907-6969
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 317937-1 (NY)

Record details

NPI number1013321736
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2014
Last updated in NPPESJune 20, 2014
Mailing address63 Davidson Ave, Buffalo, NY 14215-2305

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