Sandy Sullivan, REGISTERED NURSE

NPI #1225611296 in Tullahoma, Tennessee

Provider Information

NPI Number: 1225611296
Entity Type: Individual
Name: Sandy Sullivan, REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE
Enumeration Date: Apr 28, 2021
Last Updated: Apr 28, 2021

Practice Location

Address: 210 NE ATLANTIC ST
City: Tullahoma
State: Tennessee
ZIP Code: 37388-3575
Phone: (931) 222-4656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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