MEDICARE: SARAH ELIZABETH DUBROC FNP-BC

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	38940	TN

General Provider Information

NPI Number	:	1427943810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH DUBROC FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 5777
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37802-5777
Country	:	US
Telephone Number	:	865-246-2104
Fax Number	:	865-246-2106

Provider Business Practice Location Address
First Line	:	155 MORNING POINT DR
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37772-6447
Country	:	US
Telephone Number	:	865-230-1500
Fax Number	:	865-246-2106

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

Provider Enumeration Date	:	06/09/2025
Last Update Date	:	08/29/2025

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