JESSICA ELIZABETH SULLIVAN
NPI 1902632771
Counselor - Addiction (Substance Use Disorder) in Waterville, ME

Active since September 10, 2024
40 AIRPORT RD, WATERVILLE, ME 04901(207) 872-7272(207) 872-0639 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Elizabeth Sullivan NPPES

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

JESSICA ELIZABETH SULLIVAN (NPI 1902632771) is an individual addiction (substance use disorder) provider in Waterville, Maine, licensed in Maine (CAC8844) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1902632771
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA ELIZABETH SULLIVAN
Location Address40 AIRPORT RDWaterville, ME 04901-4524
Mailing Address40 Airport RdWaterville, ME 04901-4524 · (207) 872-7272 · Fax (207) 872-0639
Fax(207) 872-0639
Sole ProprietorYes
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
NPI 1902632771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in ME · CAC8844
40 AIRPORT RD, Waterville, ME 04901

Other Names 1

Former Name (1)Jessica Stuart

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
40 AIRPORT RD
WATERVILLE, ME 04901
Licensed Practical Nurse
40 AIRPORT RD
WATERVILLE, ME 04901
Registered Nurse
40 AIRPORT RD
WATERVILLE, ME 04901
Optometrist
40 AIRPORT RD, SUITE 1
WATERVILLE, ME 04901
Counselor (Addiction (Substance Use Disorder))
40 AIRPORT RD
WATERVILLE, ME 04901
Counselor (Addiction (Substance Use Disorder))
40 AIRPORT RD
WATERVILLE, ME 04901
Registered Nurse
40 AIRPORT RD
WATERVILLE, ME 04901
Counselor (Addiction (Substance Use Disorder))
40 AIRPORT RD
WATERVILLE, ME 04901

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 1902632771. It was assigned to this individual provider in the NPPES registry on September 10, 2024. The provider is also known as Jessica Stuart.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 40 Airport Rd, Waterville, ME 04901. The listed phone number is (207) 872-7272.

What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.