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

Mrs. Katie Jo Sullivan, NP

Individual provider Family Nurse Practitioner · NPI 1649524059

Mrs. Katie Jo Sullivan, NP is a Nurse Practitioner in Easton, Maryland. Qualified in 2011, 15 years ago. Practices with Miles River Primary Care LLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
15
Licensed in
MD
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8579 Commerce Dr Ste 104
Easton, MD 21601-7420
Phone: (410) 822-9133
Fax: (410) 822-9513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 618 Sunburst Hwy, Cambridge, MD 21613-2546 — (667) 327-0228

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R166423 (MD)

Record details

NPI number1649524059
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Miles River Primary Care Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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