Most Relevant Information
Provider Data
| NPI Number: | 1003590316 |
| Provider Name: | KERRI JEAN SULLIVAN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 279965 |
Most Important Dates
| Enumeration Date: | 06/15/2023 |
| Last Updated: | 06/30/2023 |
Provider Practice Location
516 HAWTHORN ST STE 4
DARTMOUTH
MA
027473733
Practice Location Phone/Fax
| Phone: | 7749297420 |
| Fax: |
Provider Mailing Location
516 HAWTHORN ST STE 4
DARTMOUTH
MA
027473733
Provider Mailing Phone/Fax
| Phone: | 7749297420 |
| Fax: |