Healthcare Provider Details

I. General information

NPI: 1568002442
Provider Name (Legal Business Name): SARA EDWARDS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4460 PERKINS ROAD
BATON ROUGE LA
70808
US

IV. Provider business mailing address

4460 PERKINS ROAD
BATON ROUGE LA
70808
US

V. Phone/Fax

Practice location:
  • Phone: 225-831-4618
  • Fax:
Mailing address:
  • Phone: 225-831-4618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number210978
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: