Provider Demographics
NPI:1629522594
Name:BAXTER, SARAH NICHOLE (APRN)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:NICHOLE
Last Name:BAXTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:NICHOLE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6800 LINDSEY RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-3877
Mailing Address - Country:US
Mailing Address - Phone:501-552-8860
Mailing Address - Fax:501-552-5307
Practice Address - Street 1:6800 LINDSEY RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-3877
Practice Address - Country:US
Practice Address - Phone:501-552-8860
Practice Address - Fax:501-552-5307
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004860363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care