Healthcare Provider Details
I. General information
NPI: 1326951492
Provider Name (Legal Business Name): SARAH DAVIS MSN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
681 S WHITE STATION RD STE 111
MEMPHIS TN
38117-4563
US
IV. Provider business mailing address
9909 WHITE POPLAR DR
OLIVE BRANCH MS
38654-4445
US
V. Phone/Fax
- Phone: 901-276-3222
- Fax:
- Phone: 815-450-8370
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 40806 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: