Healthcare Provider Details

I. General information

NPI: 1811385206
Provider Name (Legal Business Name): SANDRA JEAN THARPE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA OWENS THARPE APN

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SHERRILL ST
UNION CITY TN
38261-5891
US

IV. Provider business mailing address

700 SHERRILL ST
UNION CITY TN
38261-5891
US

V. Phone/Fax

Practice location:
  • Phone: 731-885-8881
  • Fax:
Mailing address:
  • Phone: 731-885-8881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number19500
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: