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JACLYNN SULLIVAN
NPI 1013438126
Licensed Practical Nurse in Frazeysburg, OH

Active since June 28, 2017
5559 RAIDERS ROAD, FRAZEYSBURG, OH 43822(740) 828-2498 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclynn Sullivan NPPES

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

JACLYNN SULLIVAN (NPI 1013438126) is an individual licensed practical nurse in Frazeysburg, Ohio, licensed in Ohio (LPN.150884.MEDS-IV) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1013438126
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACLYNN SULLIVAN
Location Address5559 RAIDERS ROADFrazeysburg, OH 43822
Mailing Address5559 Raiders RoadFrazeysburg, OH 43822
Phone(740) 828-2498
Sole ProprietorYes
Enumeration DateJune 28, 2017
✔ NPI 1013438126 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 OH · LPN.150884.MEDS-IV
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.
5559 RAIDERS ROAD, Frazeysburg, OH 43822
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN MITCHELL
Case Management
5559 RAIDERS ROAD
FRAZEYSBURG, OH 43822
Muskingum County (740) 828-2498
JORDAN LANDERMAN
Counselor (Addiction (Substance Use Disorder))
5559 RAIDERS ROAD
FRAZEYSBURG, OH 43822
Muskingum County (740) 828-2498
KAYLA SPRATT
Technician, Health Information
5559 RAIDERS ROAD
FRAZEYSBURG, OH 43822
Muskingum County (740) 828-2498
KAREN MCNABB
Case Management
5559 RAIDERS ROAD
FRAZEYSBURG, OH 43822
Muskingum County (740) 828-2498

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 Jaclynn Sullivan's NPI number?

The NPI number for Jaclynn Sullivan is 1013438126. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Jaclynn Sullivan located?

Jaclynn Sullivan practices at 5559 Raiders Road, Frazeysburg, OH 43822. The listed phone number is (740) 828-2498.

What is Jaclynn 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 Jaclynn Sullivan was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.