Bennett, Sara Ruth
Bennett, Sara Ruth is an individual health care provider with primary practice located at 865 N Highland Ave Ne , Atlanta GA 30306-4565. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bennett, Sara Ruth can be contacted via phone (404) 733-6089.Contact Information
Primary practice address
865 N Highland Ave Ne
Atlanta GA 30306-4565
Phone: (404) 733-6089
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN165031 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN165031 | Georgia |
Nursing Service Providers / General Practice | 163WG0000X | RN165031 | Georgia |
Profile Details
NPI number | 1104364173 |
---|---|
LBN Legal business name | Bennett, Sara Ruth |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2017 |
Last updated | Mar 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104364173 | NPPES |
Georgia | MEDICAID | 202I503548 |
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