| Jacqueline Mary Sullivan, | |
|
W3985 County Road Nn, Elkhorn, WI 53121-4337 | |
| (262) 741-2145 | |
| (262) 741-2559 |
| Full Name | Jacqueline Mary Sullivan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | W3985 County Road Nn, Elkhorn, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740511104 | NPI | - | NPPES |
| 1508-029 | Other | WI | CERTIFIED DIETITIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 685422 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Mary Sullivan, 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792-0001 Ph: (608) 662-0817 | Jacqueline Mary Sullivan, W3985 County Road Nn, Elkhorn, WI 53121-4337 Ph: (262) 741-2145 |
Ashley Kate Stephens, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2102 | |
Ka Lia Vang, RD Dietitian Medicare: Medicare Enrolled Practice Location: W3985 Country Road Nn, Elkhorn, WI 53121 Phone: 262-741-2102 | |
Mrs. Samantha Rosemary Schleiger, MS, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3022 Weaver Rd, Elkhorn, WI 53121 Phone: 262-374-1145 | |
Kayla Vanbergen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-2145 | |
Miss Alexandra Sharapova, MS, RD, CSO, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: W3985 County Road Nn, Elkhorn, WI 53121 Phone: 262-241-2102 | |
Mr. Daniel J Clausen, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3147 Fax: 262-741-3757 |