Healthcare Provider Details

I. General information

NPI: 1790696433
Provider Name (Legal Business Name): SUZANNE SAYRE-EPPERSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LEA AVE STE 760
NASHVILLE TN
37210-3541
US

IV. Provider business mailing address

676 WALKERS BEND RD
JOHNSON CITY TN
37615-4163
US

V. Phone/Fax

Practice location:
  • Phone: 201-526-8484
  • Fax: 615-610-0749
Mailing address:
  • Phone: 530-762-9520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number268113
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: