Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnna Kathryn Sullivan, FNP-C

Individual provider Family Nurse Practitioner · NPI 1356930804

Johnna Kathryn Sullivan, FNP-C is a Nurse Practitioner in King of Prussia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Minuteclinic Diagnostic of Pennsylvania LLC, a 84-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
6
Licensed in
NY, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

312 S Henderson Rd
King of Prussia, PA 19406-2408
Phone: (610) 205-1264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP023057 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F347007-01 (NY)

Record details

NPI number1356930804
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 11, 2021
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Minuteclinic Diagnostic Of Pennsylvania Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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