Individual
ADRIENNE CLAIRE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120-4023
(901) 259-1600
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
6833
TN
363AM0700X
Medical Physician Assistant
968
MS
363AS0400X
Surgical Physician Assistant
Primary
6833
TN
363AS0400X
Surgical Physician Assistant
968
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q108773
—
TN
Enumeration date
04/02/2024
Last updated
01/05/2026
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