Individual
STEPHANIE ADELE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 23RD AVE N STE 600, NASHVILLE, TN 37203-1661
(615) 340-4640
(615) 341-0988
Mailing address
330 23RD AVE N STE 600, NASHVILLE, TN 37203-1661
(615) 340-4640
(615) 341-0988
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
0101264769
VA
207VX0201X
Gynecologic Oncology Physician
Primary
68384
TN
Other
Enumeration date
04/21/2011
Last updated
08/01/2023
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