Healthcare Provider Details

I. General information

NPI: 1205714698
Provider Name (Legal Business Name): MRS. SABRINA HUPP WIMSATT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HAMILTON HEALTH PL
TRENTON NJ
08690-3542
US

IV. Provider business mailing address

51 WOODHAM AVE
FORT WALTON BEACH FL
32547-2753
US

V. Phone/Fax

Practice location:
  • Phone: 609-586-7900
  • Fax:
Mailing address:
  • Phone: 850-865-7209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberAPRN11046502
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: