Provider Demographics
NPI:1033656632
Name:LEVINE, SABRINA (PN5151597)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:PN5151597
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 DENAUD ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-7014
Mailing Address - Country:US
Mailing Address - Phone:904-382-7926
Mailing Address - Fax:
Practice Address - Street 1:1219 DENAUD ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-7014
Practice Address - Country:US
Practice Address - Phone:904-382-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-21
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5151597164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse