Individual
MR. BENJAMIN DEVLIN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1301 MEDICAL CENTER DR, NASHVILLE, TN 37232-0028
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6991
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
09/03/2025
Last updated
02/26/2026
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