Provider Demographics
NPI:1275840019
Name:ADHAM, SARAH CHRISTIN (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CHRISTIN
Last Name:ADHAM
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2736 UNIVERSITY BLVD W STE 3
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-2170
Mailing Address - Country:US
Mailing Address - Phone:904-733-4262
Mailing Address - Fax:
Practice Address - Street 1:2736 UNIVERSITY BLVD W STE 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-2170
Practice Address - Country:US
Practice Address - Phone:904-733-4262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9278029363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner