Provider Demographics
NPI:1699840504
Name:SULKIN, SHARON R (FNP)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:R
Last Name:SULKIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 WHITE BRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209
Mailing Address - Country:US
Mailing Address - Phone:615-356-6877
Mailing Address - Fax:615-356-8270
Practice Address - Street 1:339 WHITE BRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209
Practice Address - Country:US
Practice Address - Phone:615-356-6877
Practice Address - Fax:615-356-8270
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN05405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ74272Medicare UPIN
TN3644485Medicare PIN
TN3644486Medicare PIN
TN3644484Medicare PIN
TN3644483Medicare PIN