Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDY SULLIVAN, REGISTERED NURSE
Active Sole ProprietorSANDY SULLIVAN, REGISTERED NURSE is a Adult Health Nurse Practitioner healthcare provider located in FAYETTEVILLE, Tennessee. NPI 1225611296 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · FAYETTEVILLE, TN
Registration Details
- NPI Number
- 1225611296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2021 (5.3126650251829 yrs)
- Last Updated
- Feb 18, 2026
- License
-
41012 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
59 GRAYS LNFAYETTEVILLE, TN, 373346912Browse TN providers · Browse ZIP 37334
- Phone
- 9315759525
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.