| Doctor Name: | JENNIFER MARIE SULT |
| NPI Number: | 1043436009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01062520A |
| Business Practice Address: | 1400 E 9th St Rochester, IN - 469758931 |
| Business Phone Number: | 5742232020 |
| Business Fax Number: | 5742235847 |
| Mailing Address: | 1400 E 9th St, ROCHESTER |
| State: | IN |
| Postal Code: | 469758931 |
| Phone Number: | 5742232020 |
| Fax Number: | 5742235847 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01062520A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |