MEDICARE: SARAH D DRYMON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R869036	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184701625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH D DRYMON NP

Provider Business Mailing Address
First Line	:	PO BOX 1248
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39566-1248
Country	:	US
Telephone Number	:	228-382-9222
Fax Number	:	228-382-9224

Provider Business Practice Location Address
First Line	:	1514 BIENVILLE BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3006
Country	:	US
Telephone Number	:	228-382-9222
Fax Number	:	228-382-9224

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/16/2013

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Directions to “ SARAH D DRYMON NP” Practice Location

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