JESSICA SULLIVAN
NPI 1114567351
Licensed Practical Nurse in Nashport, OH

Active since January 15, 2020
4854 DRAGOO RD, NASHPORT, OH 43830(740) 877-4688 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Sullivan NPPES

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

JESSICA SULLIVAN (NPI 1114567351) is an individual licensed practical nurse in Nashport, Ohio, licensed in Ohio (LPN.158250.MEDS-IV) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1114567351
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA SULLIVAN
Location Address4854 DRAGOO RDNashport, OH 43830-9613
Mailing Address4854 Dragoo RdNashport, OH 43830-9613 · (740) 877-4688
Sole ProprietorYes
Enumeration DateJanuary 15, 2020
NPI 1114567351 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.158250.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.

4854 DRAGOO RD, Nashport, OH 43830

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 Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1114567351. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 4854 Dragoo Rd, Nashport, OH 43830. The listed phone number is (740) 877-4688.

What is Jessica 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 Jessica Sullivan was last updated on January 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.