IndividualActive
Jennifer Sullivan, WHNP
NPI 1053584789 · Women's Health Nurse Practitioner · Fridley, MN
Provider details
- NPI number
- 1053584789
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- WHNP
- Sex
- Female
- Sole proprietor
- No
- License
- R1564338 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 Osborne Rd Ne
Suite 200
Fridley, MN 55432-2774
Phone: (763) 786-6011
Approximate (ZIP-level) locationGet directions
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Registry dates
- Enumerated
- 2008-04-02
- Last updated
- 2020-11-10
- Certified
- 2020-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.