Healthcare Provider Details

I. General information

NPI: 1326762352
Provider Name (Legal Business Name): SARAH MISHOE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E VIRGINIA AVE
BESSEMER CITY NC
28016-2385
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 704-629-3465
  • Fax: 704-629-1355
Mailing address:
  • Phone: 47-874-1904
  • Fax: 704-865-4614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26659
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5020697
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: