ADRIENNE CLAIRE SULLIVAN NPI 1871345090

NPI Information

  • NPI: 1871345090
  • Provider Name: ADRIENNE CLAIRE SULLIVAN
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6286 BRIARCREST AVE STE 200
    MEMPHIS, TN
    ZIP 38120
  • Phone: (901) 259-1600

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NPI Details

Adrienne Claire Sullivan is a surgical physician assistant in Memphis, TN with 1 years of experience. Adrienne Claire Sullivan NPI is 1871345090. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6286 BRIARCREST AVE STE 200
MEMPHIS, TN
ZIP 38120-023
Phone: (901) 259-1600
Fax: (901) 259-1698

The NPI 1871345090 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2024 and was last updated on 1/5/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical6833TENNESSEENo
2363AS0400XPhysician AssistantSurgical968MISSISSIPPINo
3363AM0700XPhysician AssistantMedical968MISSISSIPPINo
4363AS0400XPhysician AssistantSurgical6833TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q108773MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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