Provider Demographics
NPI:1659375509
Name:GREENE, SARAH JOCELYN (APRN, BC, FNP)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:JOCELYN
Last Name:GREENE
Suffix:
Gender:F
Credentials:APRN, BC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1313 21ST AVENUE SOUTH
Mailing Address - Street 2:SUITE 801 OXFORD HOUSE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-4753
Mailing Address - Country:US
Mailing Address - Phone:615-936-0420
Mailing Address - Fax:615-936-2787
Practice Address - Street 1:1313 21ST AVENUE SOUTH
Practice Address - Street 2:SUITE 801 OXFORD HOUSE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-4753
Practice Address - Country:US
Practice Address - Phone:615-936-0420
Practice Address - Fax:615-936-2787
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN8298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3632301Medicaid
TN3632301Medicaid
TNQ18481Medicare UPIN