Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013438126 Individual Practitioner Female Practitioner

Jaclynn Sullivan

Licensed Practical Nurse • Frazeysburg, OH

Professional Overview & Biography Verified Profile Summary

Jaclynn Sullivan is a registered healthcare professional specializing in Licensed Practical Nurse in Frazeysburg, OH. Practice services are available at 5559 RAIDERS ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5559 Raiders Road

Frazeysburg, OH 43822

Telephone 7408282498

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Frazeysburg, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Frazeysburg, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.150884.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dawn Mitchell

Case Management

NPI 1194246447
Jordan Landerman

Counselor - Addiction (Substance Use Disorder)

NPI 1316468648
Kayla Spratt

Technician, Health Information

NPI 1316468655
Alissa Novaria

Counselor - Addiction (Substance Use Disorder)

NPI 1477074763
Karen Mcnabb

Case Management

NPI 1659892917
Ildea Marshall

Case Management

NPI 1790206639

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2017

Registered at 5559 RAIDERS ROAD, FRAZEYSBURG, OH 43822 (Tel: 7408282498)

📍
Updated Business Mailing Address June 28, 2017

Registered at 5559 RAIDERS ROAD, FRAZEYSBURG, OH 43822

👤
Provider Name / Credentials Updated June 28, 2017

Recorded as JACLYNN SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Licensed Practical Nurse (License #LPN.150884.MEDS-IV in OH)

🟢
Initial NPI Registration & Enumeration June 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013438126
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2017
Last Update: June 28, 2017
Sole Proprietor: Yes

Mailing Address

5559 Raiders Road

Frazeysburg, OH 43822

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.