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

Jessica Sullivan, PA

Individual provider Physician Assistant · NPI 1073849089

Jessica Sullivan, PA is a Physician Assistant in Newark, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1200 Driving Park Ave
Newark, NY 14513-1057
Phone: (315) 332-2290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013672 (NY)

Record details

NPI number1073849089
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 26, 2009
Last updated in NPPESJuly 28, 2010

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