Healthcare Provider Details

I. General information

NPI: 1518876499
Provider Name (Legal Business Name): SARA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 DUNLEA CT
WILMINGTON NC
28405-3448
US

IV. Provider business mailing address

5101 DUNLEA CT
WILMINGTON NC
28405-3448
US

V. Phone/Fax

Practice location:
  • Phone: 910-386-1078
  • Fax:
Mailing address:
  • Phone: 910-386-1078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2472E0500X
TaxonomyEEG Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: