Healthcare Provider Details

I. General information

NPI: 1265393987
Provider Name (Legal Business Name): SARAH GARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 MAIN ST
JASPER TN
37347-3438
US

IV. Provider business mailing address

4300 MAIN ST
JASPER TN
37347-3438
US

V. Phone/Fax

Practice location:
  • Phone: 423-651-1696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number39923
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: