Sullivan, Mary Kathleen
Sullivan, Mary Kathleen is an individual health care provider with primary practice located at 1920 Kirby Pkwy Ste 102 , Germantown TN 38138-3654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Sullivan, Mary Kathleen can be contacted via phone (901) 334-5464.Contact Information
Primary practice address
1920 Kirby Pkwy Ste 102
Germantown TN 38138-3654
Phone: (901) 334-5464
Fax: (901) 334-5466
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APN 12894 | Tennessee |
Profile Details
NPI number | 1053735282 |
---|---|
LBN Legal business name | Sullivan, Mary Kathleen |
Credentials | DNP, FNP, RN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2014 |
Last updated | Sep 24th, 2015 - about 10 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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