Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 177164 | GA |
NPI | 1003128240 |
---|---|
Provider Name | Mrs. Jennifer Irene Sarno |
First Address | Marietta, GA 30060-7241 |
Second Address | Marietta, GA 30060-7241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2010 |
Last Update Date | 29/09/2015 |