Healthcare Provider Details
I. General information
NPI: 1033706544
Provider Name (Legal Business Name): SARAH ELIZABETH JOSEPH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/30/2020
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8000 CENTERVIEW PKWY STE 400
CORDOVA TN
38018-4127
US
IV. Provider business mailing address
4440 INDIAN TRAIL DR
MEMPHIS TN
38141-7141
US
V. Phone/Fax
- Phone: 901-767-6767
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC1500X |
| Taxonomy | Community Health Registered Nurse |
| License Number | R103936 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: