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

Jennifer Sullivan, CNP

Individual provider Nurse Practitioner · NPI 1093122475

Jennifer Sullivan, CNP is a Nurse Practitioner in Auburn, Maine. Qualified in 2014, 12 years ago. Practices with St Marys Regional Medical Center, a 194-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
12
Licensed in
ME
In the registry since
2014
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

15 Gracelawn Rd Ste 203
Auburn, ME 04210-6344
Phone: (207) 777-8959
Fax: (207) 753-3093
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP141034 (ME)

Record details

NPI number1093122475
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 17, 2014
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Marys Regional Medical Center — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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