Dr JACQUELINE R SULLIVAN OGG NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 1996.
401 HWY ST
UNDERWOOD
IA
515760218
Tel:
Npi | 1932153632 |
Pac Id | 4284613894 |
Professional Enrollment Id | I20040716000999 |
Last Name | SULLIVAN OGG |
First Name | JACQUELINE |
Middle Name | R |
Suffix | |
Gender | F |
Credential | NP |
Medical School Name | OTHER |
Graduation Year | 1996 |
Primary Specialty | NURSE PRACTITIONER |
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Line 1 Street Address | 401 HWY ST |
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Marker Of Address Line 2 Suppression | |
City | UNDERWOOD |
State | IA |
Zip Code | 515760218 |
Phone Number | |
Hospital Affiliation Ccn 1 | 160047 |
Hospital Affiliation Lbn 1 | METHODIST JENNIE EDMUNDSON |
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Professional Accepts Medicare Assignment | Y |
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