Provider Demographics
NPI:1104344043
Name:PURCELL, SARAH KRISTEN (MSN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KRISTEN
Last Name:PURCELL
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KRISTEN
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:908 BRADFORD AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 25TH AVE N STE 100
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1625
Practice Address - Country:US
Practice Address - Phone:615-320-5090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000020386363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care