Healthcare Provider Details

I. General information

NPI: 1851786024
Provider Name (Legal Business Name): SARAH B. FLOYD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH B JORDAN FNP

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 Q ST FL 3
SACRAMENTO CA
95816-7058
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-3400
  • Fax: 916-733-5384
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number111794
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95005478
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95005478
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number69309
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: