Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN9335754 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 9335357 | FL |
NPI | 1063990711 |
---|---|
Provider Name | Mrs. Sarah Applewhite |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2018 |
Last Update Date | 05/10/2020 |