NPI 1285840603
Jessica Gwenhwyvar Sullivan
Practice location
- Address
- 495 Summer St Boston Meps, 4th Floor, Boston, MA 02210-2109
- Phone
- (617) 753-3113
- Mailing address
- 495 Summer Street Boston Meps, 4th Floor, Boston, MA 01721
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1285840603
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.