Provider Demographics
NPI:1750846309
Name:ZIEGLER, SARAH DAVENPORT (APRN, NP-BC, AT-RET)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DAVENPORT
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:APRN, NP-BC, AT-RET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9019 OVERLOOK BLVD STE C1B
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2737
Mailing Address - Country:US
Mailing Address - Phone:615-274-9767
Mailing Address - Fax:
Practice Address - Street 1:9019 OVERLOOK BLVD STE C1B
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2737
Practice Address - Country:US
Practice Address - Phone:615-274-9767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN225566163W00000X
TN7442255A2300X
KY3014725363L00000X
TN25121363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer