Healthcare Provider Details

I. General information

NPI: 1336516483
Provider Name (Legal Business Name): SARAH JANE QUINN DNP, FNP-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH DELANEY BSN, RN, PTA

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 JESSE RUN RD
JANE LEW WV
26378-8216
US

IV. Provider business mailing address

2011 JESSE RUN RD
JANE LEW WV
26378-8216
US

V. Phone/Fax

Practice location:
  • Phone: 304-527-8841
  • Fax:
Mailing address:
  • Phone: 304-527-8841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberQUIN-CZXE8
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number386990
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: