Provider Demographics
NPI:1467740795
Name:CARSON, SARAH STAGG (MSN, FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:STAGG
Last Name:CARSON
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ELLEN
Other - Last Name:STAGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:10260 N. CENTRAL EXPRESSWAY
Mailing Address - Street 2:STE 210
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:469-729-6460
Mailing Address - Fax:214-553-5548
Practice Address - Street 1:10260 N. CENTRAL EXPRESSWAY
Practice Address - Street 2:STE 210
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:469-729-6460
Practice Address - Fax:214-553-5548
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX748306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily