Provider Demographics
NPI:1467902007
Name:MCCAMMAN, SARA (DNP FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MCCAMMAN
Suffix:
Gender:F
Credentials:DNP FNP-BC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:JACKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP FNP-BC
Mailing Address - Street 1:1521 E TANGERINE RD STE 315
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-6222
Mailing Address - Country:US
Mailing Address - Phone:520-901-6350
Mailing Address - Fax:
Practice Address - Street 1:1007 39TH AVE SE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-2192
Practice Address - Country:US
Practice Address - Phone:253-435-3100
Practice Address - Fax:844-660-0690
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily