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JORDAN LYNN SULLIVAN RN
NPI 1073318499
Registered Nurse in Vandenberg Afb, CA

Active since February 18, 2025
338 S DAKOTA AVE BLDG 13850, VANDENBERG AFB, CA 93437(805) 605-0261 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Lynn Sullivan Rn NPPES

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

JORDAN LYNN SULLIVAN RN (NPI 1073318499) is an individual registered nurse in Vandenberg Afb, California, licensed in California (95305963) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1073318499
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJORDAN LYNN SULLIVANCredential: RN
Location Address338 S DAKOTA AVE BLDG 13850Vandenberg Afb, CA 93437-6307
Mailing Address338 S Dakota Ave Bldg 13850Vandenberg Afb, CA 93437-6307
Phone(805) 605-0261
Sole ProprietorNo
Enumeration DateFebruary 18, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1073318499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 95305963
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
338 S DAKOTA AVE BLDG 13850, Vandenberg Afb, CA 93437
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Other Providers at the Same Location NPPES 10

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

30TH MEDGRP-VANDENBERG
Military/U.S. Coast Guard Pharmacy
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (805) 606-7440
KIELE TERESA MOHRE DO
Pediatrics
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-2273
DR. CHRISTOPHER VELASQUEZ DO
Emergency Medicine
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (805) 606-2273
VANDENBERG AIR FORCE 30TH MEDICAL GROUP
Dietitian, Registered
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-3469
DR. BENJAMIN GRAHAM BACON DDS
Dentist (General Practice)
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437
Santa Barbara County (361) 815-9929
MRS. MARY RITA MU-TAGALOA WALKER REGISTERED DIETITIAN
Dietitian, Registered
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (214) 684-0947
JENNIFER TA CPNP
Nurse Practitioner (Pediatrics)
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-2273
HANNAH JANE HULTINE
Physical Therapist
338 S DAKOTA AVE BLDG 13850
LOMPOC, CA 93437
Santa Barbara County (805) 606-6236

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 Jordan Sullivan's NPI number?

The NPI number for Jordan Sullivan is 1073318499. It was assigned to this individual provider in the NPPES registry on February 18, 2025.

Where is Jordan Sullivan located?

Jordan Sullivan practices at 338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA 93437. The listed phone number is (805) 605-0261.

What is Jordan Sullivan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jordan Sullivan was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.