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

Jessie Thomas Sullivan, MD

Individual provider Family Medicine Physician · NPI 1669300273

Jessie Thomas Sullivan, MD is a Family Medicine Physician in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2026.

Licensed in
NE
In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Phone: (402) 595-2275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10536 (NE)

Record details

NPI number1669300273
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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