Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Kathleen Sullivan, DNP, FNP, RN

Individual provider Primary Care Nurse Practitioner · NPI 1053735282

Mary Kathleen Sullivan, DNP, FNP, RN is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2007, 19 years ago. Practices with Baptist Memorial Medical Group, Inc, a 571-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
19
Licensed in
TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5659 S Rex Rd
Memphis, TN 38119-3821
Phone: (901) 763-3636
Fax: (901) 763-3694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8138 Country Village Dr, Cordova, TN 38016-2029 — (901) 725-8606
  • 2100 Exeter Rd, Germantown, TN 38138-3966 — (901) 757-1350

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12894 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APN 12894 (TN)

Record details

NPI number1053735282
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP , RN
Sole proprietorNo
NPI enumeratedFebruary 7, 2014
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Baptist Memorial Medical Group, Inc. — 571 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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