=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457501645
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JACQUELINE FRANCES SAHRPHILLIPS CNM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2008
-----------------------------------------------------
Last Update Date | 10/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2040 DAN PROCTOR DR STE 120
-----------------------------------------------------
City | SAINT MARYS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31558-3812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-540-6760
-----------------------------------------------------
Fax | 912-540-6768
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2040 DAN PROCTOR DR STE 120
-----------------------------------------------------
City | SAINT MARYS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31558-3812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-540-6760
-----------------------------------------------------
Fax | 912-540-6768
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367A00000X
-----------------------------------------------------
Taxonomy Name | Advanced Practice Midwife
-----------------------------------------------------
License Number | RN161279
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------