Dennis, Sandra

Dennis, Sandra is an individual health care provider with primary practice located at 1999 Highway 51 S Suite A, Covington TN 38019-3630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dennis, Sandra can be contacted via phone (901) 476-9339.

Contact Information

Primary practice address
1999 Highway 51 S Suite A Covington TN 38019-3630
Phone: (901) 476-9339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN13637 Tennessee

Profile Details

NPI number 1174768485
LBN Legal business name Dennis, Sandra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2008
Last updated Mar 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174768485 NPPES
Tennessee MEDICAID Q003781
Tennessee MEDICAID 214846758
Tennessee MEDICAID 09253832

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