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

Jennifer Mae Sullivan, WHNP

Individual provider Women's Health Nurse Practitioner · NPI 1053584789

Jennifer Mae Sullivan, WHNP is a Nurse Practitioner in Fridley, Minnesota. Qualified in 2008, 18 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
What do these letters mean?
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

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Practice location Address checks out

500 Osborne Rd NE Ste 200
Fridley, MN 55432-2774
Phone: (763) 786-6011
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence R1564338 (MN)

Record details

NPI number1053584789
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP
Sole proprietorNo
NPI enumeratedApril 2, 2008
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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