Individual
SUE ST CLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN
Contact information
Practice address
620 GALLATIN PIKE S, SUITE 214, MADISON, TN 37115-4013
(615) 460-4300
(615) 460-4302
Mailing address
1057 TODD PREIS DR, NASHVILLE, TN 37221-2478
(615) 496-0965
(615) 248-6886
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000008257
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3904132
—
TN
05
—
3904133
—
TN
01
—
4031293
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/16/2006
Last updated
12/09/2013
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