IndividualActive
Alyse Sullivan, NP
NPI 1811777105 · Women's Health Clinical Nurse Specialist · Antioch, TN
Provider details
- NPI number
- 1811777105
- Entity type
- Individual
- Primary specialty
- Women's Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 5022149 (NC)
Practice location
950 Brittany Park Dr Apt 423
Antioch, TN 37013-5065
Phone: (530) 848-2648
Mailing address
950 Brittany Park Dr Apt 423
Antioch, TN 37013-5065
Registry dates
- Enumerated
- 2023-10-03
- Last updated
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.