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

Kelly Mary Sullivan

Individual provider Acute Care Nurse Practitioner · NPI 1841112166

Kelly Mary Sullivan is an Acute Care Nurse Practitioner in Beverly, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

195 Dodge St
Beverly, MA 01915-1244
Phone: (978) 578-8768
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2348656 (MA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN2348656 (MA)

Record details

NPI number1841112166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2026
Last updated in NPPESAugust 2, 2026
Certification dateAugust 2, 2026