Healthcare Provider Details

I. General information

NPI: 1174864433
Provider Name (Legal Business Name): SARAH SHARPLESS CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 10/13/2024
Certification Date: 10/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US

IV. Provider business mailing address

2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-1112
  • Fax: 404-785-6288
Mailing address:
  • Phone: 404-785-1112
  • Fax: 404-785-6288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN195511
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: