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

Sandy Sullivan, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1225611296

Sandy Sullivan, NURSEPRACTITIONER is a Nurse Practitioner in Fayetteville, Tennessee. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1816 Huntsville Hwy
Fayetteville, TN 37334-3787
Phone: (931) 227-4227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 23rd Ave N Ste 140, Nashville, TN 37203-1536 — (615) 575-3100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 41012 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 41012 (TN)

Record details

NPI number1225611296
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedApril 28, 2021
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1816 Huntsville Hwy, Fayetteville, TN 37334-3787

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare