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JESSICA M SULLIVAN CNP
NPI 1386951085
Nurse Practitioner in Bloomington, IL

Active since September 02, 2010
1405 EASTLAND DR, BLOOMINGTON, IL 61701(309) 661-2400(309) 661-6266 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica M Sullivan Cnp NPPES

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

JESSICA M SULLIVAN CNP (NPI 1386951085) is an individual nurse practitioner in Bloomington, Illinois, licensed in Illinois (209008299) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1386951085
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA M SULLIVANCredential: CNP
Location Address1405 EASTLAND DRBloomington, IL 61701-3514
Mailing Address1405 Eastland DrBloomington, IL 61701-3514 · (309) 661-2400 · Fax (309) 661-6266
Phone(309) 661-2400
Fax(309) 661-6266
Sole ProprietorNo
Enumeration DateSeptember 2, 2010
Last NPPES UpdateAugust 23, 2013
✔ NPI 1386951085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209008299
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1405 EASTLAND DR, Bloomington, IL 61701
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Other Providers at the Same Location NPPES 3

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

KIMBERLY NORD N.P.
Nurse Practitioner
1405 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 661-2400
TOM KENNEY
Family Medicine
1405 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 661-2400
KIMBERLY SHRODE
Nurse Practitioner
1405 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 661-2400

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 1386951085. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 1405 Eastland Dr, Bloomington, IL 61701. The listed phone number is (309) 661-2400.

What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on August 23, 2013. 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.