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

Taylor Sueanne Vandiver

Individual provider Family Nurse Practitioner · NPI 1164373411

Taylor Sueanne Vandiver is a Nurse Practitioner in Manchester, Tennessee. Qualified in 2025, 1 year ago. Practices with Jay Michael Trussler DO PC, an 8-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2026

Practice location Address checks out

585 Interstate Dr
Manchester, TN 37355-3190
Phone: (937) 728-9000
Fax: (931) 728-2726
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 41060 (TN)

Record details

NPI number1164373411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

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)
Group practice Jay Michael Trussler Do Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manchester