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Individual

MS. JANE ANN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
(731) 772-4199
(731) 772-7703
Mailing address
2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
(731) 772-4199

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5597
TN
207Q00000X
Family Medicine Physician
5597
TN
207R00000X
Internal Medicine Physician
5597
TN
208000000X
Pediatrics Physician
5597
TN
208100000X
Physical Medicine & Rehabilitation Physician
5597
TN
2085R0202X
Diagnostic Radiology Physician
5597
TN
208600000X
Surgery Physician
5597
TN
363LA2100X
Acute Care Nurse Practitioner
23279
SC
363LA2100X
Acute Care Nurse Practitioner
5597
TN
363LC0200X
Critical Care Medicine Nurse Practitioner
5597
TN
363LF0000X
Family Nurse Practitioner
23279
SC
363LF0000X
Family Nurse Practitioner
Primary
APN5597
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q007039
TN
Enumeration date
04/25/2006
Last updated
08/09/2024
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