Individual
BERRIEN W SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
PO BOX 360, PINELAND, FL 33945-0360
(615) 948-7662
Mailing address
PO BOX 360, PINELAND, FL 33945-0360
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APN0000008322
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
APN0000008322
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN0000008322
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I503726
MEDICARE PTAN
TN
Enumeration date
03/03/2006
Last updated
05/24/2025
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