Provider Demographics
NPI:1770182891
Name:OLIVER, SARAH JOHNS (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JOHNS
Last Name:OLIVER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 NEWKIRK CT
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-3366
Mailing Address - Country:US
Mailing Address - Phone:571-271-7496
Mailing Address - Fax:
Practice Address - Street 1:1830 TOWN CENTER DR STE 405
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3218
Practice Address - Country:US
Practice Address - Phone:703-481-9191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily