Provider Demographics
NPI:1346801925
Name:STEVENSON, SARAH E
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 CALDWELL AVE.
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38107
Mailing Address - Country:US
Mailing Address - Phone:904-444-4426
Mailing Address - Fax:
Practice Address - Street 1:236 CALDWELL AVE.
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38107
Practice Address - Country:US
Practice Address - Phone:904-444-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health
No376J00000XNursing Service Related ProvidersHomemaker