Provider Demographics
NPI:1619306156
Name:WHEELER, SARAH L (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:L
Last Name:WHEELER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 BLANDING BLVD
Mailing Address - Street 2:CLAY PRIMARY & FAMILY CARE
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-8917
Mailing Address - Country:US
Mailing Address - Phone:904-276-1133
Mailing Address - Fax:904-276-1821
Practice Address - Street 1:865 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32065-8917
Practice Address - Country:US
Practice Address - Phone:904-276-1133
Practice Address - Fax:904-276-1821
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9275172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily