Provider Demographics
NPI:1083852131
Name:KNIGHT, SARA AILEEN (FNP)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:AILEEN
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SILAS TRCE
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-9743
Mailing Address - Country:US
Mailing Address - Phone:601-506-4442
Mailing Address - Fax:
Practice Address - Street 1:COMPERE'S NURSING HOME
Practice Address - Street 2:865 NORTH ST
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202
Practice Address - Country:US
Practice Address - Phone:601-206-0901
Practice Address - Fax:888-240-6288
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR857908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily