Healthcare Provider Details

I. General information

NPI: 1306654330
Provider Name (Legal Business Name): SARAH BETH NEGRON RN, DNP-PMHNP-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 GALLIE CUT
RICHMOND HILL GA
31324-6375
US

IV. Provider business mailing address

42 GALLIE CUT
RICHMOND HILL GA
31324-6375
US

V. Phone/Fax

Practice location:
  • Phone: 912-492-3713
  • Fax:
Mailing address:
  • Phone: 912-492-3713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberRN216137
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: