Jacquelyn Sullivan, NURSE PRACTITIONER

ActiveIndividual ProviderNurse Practitioner
NPI issued: August 2, 2005

Quick Facts

NPI Number
1912908740
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LA2100X — Nurse Practitioner
Phone
(919) 864-8111
StateNC

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1912908740)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (August 2, 2005)
Data source: CMS NPPES

Provider Overview

JACQUELYN SULLIVAN, NURSE PRACTITIONER is a Nurse Practitioner provider based in Durham, NC who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1912908740
Provider TypeIndividual Provider
GenderFemale
CredentialNURSE PRACTITIONER
StatusActive
Enumeration DateAugust 2, 2005

Practice Location

CityDurham
StateNC
ZIP Code27705-4699
Phone(919) 864-8111

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LA2100X
License StateNC

Mailing Address

CityDurham
StateNC
ZIP Code27705-4699
Phone(919) 864-8111
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1912908740 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1912908740for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1912908740 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →
📊
25,422
Nurse Practitioner Providers in the US

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People Also Ask

What is Jacquelyn Sullivan's NPI number?
Jacquelyn Sullivan's NPI number is 1912908740, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jacquelyn Sullivan's NPI currently active?
Yes, Jacquelyn Sullivan's NPI status is Active as of the latest CMS NPPES database updates.
What does Jacquelyn Sullivan specialize in?
Jacquelyn Sullivan specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LA2100X.
Where does Jacquelyn Sullivan practice?
Jacquelyn Sullivan practices in Durham, NC 27705-4699.
When was Jacquelyn Sullivan's NPI issued?
Jacquelyn Sullivan's NPI was issued on August 2, 2005.
What is Jacquelyn Sullivan's provider type?
Jacquelyn Sullivan is registered as an Individual Provider under CMS NPI Type 1.