Jean A Sullivan, RDN, LD is a
Dietitian, Registered based in Bowie, Texas. Jean A Sullivan is licensed to practice in Texas (license number DT05882) and her current practice location is
1540 Rhodes Ln, Bowie, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 307-2426.
NPI number for Jean A Sullivan is 1033428974 and her current mailing address is 1540 Rhodes Ln, Bowie, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033428974.
Healthcare Provider's Profile
Full Name | Jean A Sullivan |
---|
Gender | Female |
---|
Speciality | Dietitian, Registered |
---|
Location | 1540 Rhodes Ln, Bowie, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033428974
- Provider Enumeration Date: 09/27/2010
- Last Update Date: 08/03/2022
Medical Identifiers
Medical identifiers for Jean A Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033428974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT05882 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jean A Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jean A Sullivan, RDN, LD 1540 Rhodes Ln, Bowie, TX 76230-7730 Ph: (469) 307-2426 | Jean A Sullivan, RDN, LD 1540 Rhodes Ln, Bowie, TX 76230-7730 Ph: (469) 307-2426 |
Reviews and Comments