Healthcare Provider Details

I. General information

NPI: 1245503366
Provider Name (Legal Business Name): SARAH BUCHANAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 GAY ST
ERWIN TN
37650-1227
US

IV. Provider business mailing address

PO BOX 399
ERWIN TN
37650-0399
US

V. Phone/Fax

Practice location:
  • Phone: 423-743-6141
  • Fax: 423-743-1083
Mailing address:
  • Phone: 423-743-6141
  • Fax: 423-743-1083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN0000133027
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number31085
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: