Long, Sarah Jeanette

Long, Sarah Jeanette is an individual health care provider with primary practice located at 8640 Sudley Road Suite 306, Manassas VA 20110-4404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Long, Sarah Jeanette can be contacted via phone (703) 330-3939.

Contact Information

Primary practice address
8640 Sudley Road Suite 306 Manassas VA 20110-4404
Phone: (703) 330-3939
Fax: (703) 331-0959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024166266 Virginia

Profile Details

NPI number 1982865218
LBN Legal business name Long, Sarah Jeanette
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Jul 2nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982865218 NPPES
Virginia Other 02416626 VA LICENSE
Virginia MEDICAID 1982865218 VA LICENSE

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