JEANETTA SULLIVAN
NPI 1013321736
Licensed Practical Nurse in Buffalo, NY

Q: What is Jeanetta Sullivan's NPI number?

The NPI number for Jeanetta Sullivan is 1013321736. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Q: What is Jeanetta Sullivan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanetta Sullivan was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2014

63 DAVIDSON AVE, BUFFALO, NY 14215(716) 907-6969 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeanetta Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANETTA SULLIVAN (NPI 1013321736) is an individual licensed practical nurse in Buffalo, New York, licensed in New York (317937-1) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1013321736

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJEANETTA SULLIVAN

Location Address63 DAVIDSON AVEBuffalo, NY 14215-2305

Mailing Address63 Davidson AveBuffalo, NY 14215-2305 · (716) 907-6969

Phone(716) 907-6969

Sole ProprietorYes

Enumeration DateJune 20, 2014

✔ NPI 1013321736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 317937-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

63 DAVIDSON AVE, Buffalo, NY 14215

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanetta Sullivan's NPI number?

The NPI number for Jeanetta Sullivan is 1013321736. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Jeanetta Sullivan located?

Jeanetta Sullivan practices at 63 Davidson Ave, Buffalo, NY 14215. The listed phone number is (716) 907-6969.

What is Jeanetta Sullivan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jeanetta Sullivan was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.