Individual
SHELENTIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
(615) 460-4430
Mailing address
633 THOMPSON LN, NASHVILLE, TN 37204-3616
(615) 460-4430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251B00000X
TN
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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