Provider Demographics
NPI:1760939441
Name:KNOX, SARA S (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:S
Last Name:KNOX
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 ALICE ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-5216
Mailing Address - Country:US
Mailing Address - Phone:912-289-5804
Mailing Address - Fax:912-809-5066
Practice Address - Street 1:1702 ALICE ST
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-5216
Practice Address - Country:US
Practice Address - Phone:912-289-5804
Practice Address - Fax:912-809-5067
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN123527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily