Provider Demographics
NPI:1003128240
Name:SARNO, JENNIFER IRENE (ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:IRENE
Last Name:SARNO
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:IRENE
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:780 CANTON RD NE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7241
Mailing Address - Country:US
Mailing Address - Phone:770-422-3602
Mailing Address - Fax:
Practice Address - Street 1:780 CANTON RD NE
Practice Address - Street 2:SUITE 400
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7241
Practice Address - Country:US
Practice Address - Phone:770-422-3602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-03
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA177164363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care