Jessicca Ann Sullivan

Nurse Practitioner · Hoffman Estates, IL

Individual Active NPI

NPI number 1659028546

Practice location

4885 Hoffman Blvd Ste 407
Hoffman Estates, IL 60192-3726
Phone
(224) 484-0183

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NPI record

NPI
1659028546
Entity type
Individual (Type 1)
Enumeration date
March 9, 2022
Last updated
August 22, 2022
Certified
August 22, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209024365 IL
Gerontology Nurse Practitioner 363LG0600X 209024365 IL

Mailing address

4885 Hoffman Blvd Ste 400
Hoffman Estates, IL 60192-3727
Phone
(224) 484-0183

About Jessicca Sullivan

Jessicca Ann Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192-3726. The NPI number 1659028546 was assigned on March 9, 2022 and the record was last updated on August 22, 2022.

Jessicca Sullivan lists 2 licenses in the registry: #209024365 (IL) for Nurse Practitioner; #209024365 (IL) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessicca Ann Sullivan?

The NPI number is 1659028546.

What is the phone number of Jessicca Sullivan?

The phone number listed for the practice location is (224) 484-0183.

Where is Jessicca Sullivan located?

4885 Hoffman Blvd Ste 407, Hoffman Estates, IL 60192-3726.

What is the taxonomy code for Jessicca Sullivan?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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