Healthcare Provider Details

I. General information

NPI: 1982568176
Provider Name (Legal Business Name): SARAH MARLENE DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARLENE ALEXANDER

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 HAWKINS DR
SEARCY AR
72143-4802
US

IV. Provider business mailing address

3474 E KIEHL AVE APT 7412
SHERWOOD AR
72120-3559
US

V. Phone/Fax

Practice location:
  • Phone: 501-278-2800
  • Fax:
Mailing address:
  • Phone: 662-689-1410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: