Healthcare Provider Details

I. General information

NPI: 1447609060
Provider Name (Legal Business Name): SARAH BETH FERRILLO N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH BETH BALLARD

II. Dates (important events)

Enumeration Date: 06/04/2016
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9215 BLUE JAY LN
AWENDAW SC
29429-6313
US

IV. Provider business mailing address

1535 WATOGA WAY
MT PLEASANT SC
29466-7508
US

V. Phone/Fax

Practice location:
  • Phone: 843-284-8420
  • Fax:
Mailing address:
  • Phone: 843-284-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number20025
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number20025
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: