Healthcare Provider Details

I. General information

NPI: 1992307045
Provider Name (Legal Business Name): SARAH JANE SPRATLING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH JANE VAN NOORD RN

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 MEREDYTH DR
ALBANY GA
31707-2267
US

IV. Provider business mailing address

2701 MEREDYTH DR
ALBANY GA
31707-2267
US

V. Phone/Fax

Practice location:
  • Phone: 229-883-7010
  • Fax: 229-435-4022
Mailing address:
  • Phone: 229-883-7010
  • Fax: 229-435-4022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-146787
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN308646
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: