Presley, Sara Marie

Presley, Sara Marie is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Presley, Sara Marie can be contacted via phone (601) 815-7100.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X R882659 Mississippi

Profile Details

NPI number 1194157784
LBN Legal business name Presley, Sara Marie
Credentials MSN, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2013
Last updated Jan 9th, 2014 - about 11 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 1194157784 NPPES
Mississippi MEDICAID 00970578

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