Provider Demographics
NPI:1760096127
Name:ADAMS, SARAH FREEMAN (FNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:FREEMAN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 SANDPIPER CV
Mailing Address - Street 2:
Mailing Address - City:MOOREVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38857-6014
Mailing Address - Country:US
Mailing Address - Phone:662-889-8619
Mailing Address - Fax:
Practice Address - Street 1:710 MS -371
Practice Address - Street 2:
Practice Address - City:MOOREVILLE
Practice Address - State:MS
Practice Address - Zip Code:38857
Practice Address - Country:US
Practice Address - Phone:662-840-4577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904102363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS904102OtherAPRN LICENSE