Search › Tennessee › 364SW0102X
Alyse Sullivan, NP
NPI 1811777105 · on the registry since 2023
Practice
- Address
- 950 Brittany Park Dr Apt 423
Antioch, TN 37013 - Phone
- (530) 848-2648
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 364SW0102X
364SW0102X
- Also registered as
- 363L00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee