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

Susan B Ibrahim, CRFNP

Individual provider Family Nurse Practitioner · NPI 1568511491

Susan B Ibrahim, CRFNP is a Nurse Practitioner in Cordova, Tennessee. Qualified in 2002, 24 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Tennessee.

Years since qualifying
24
Licensed in
TN
In the registry since
2007
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Practice location Address checks out

1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687
Phone: (901) 421-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN0000012438 (TN)

Record details

NPI number1568511491
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRFNP
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESDecember 6, 2025
Certification dateDecember 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Cordova