Provider Demographics
NPI:1851765226
Name:COX, SARA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 DAY CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-5390
Mailing Address - Country:US
Mailing Address - Phone:662-435-6257
Mailing Address - Fax:
Practice Address - Street 1:516B LINCOLN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2226
Practice Address - Country:US
Practice Address - Phone:662-241-7177
Practice Address - Fax:662-241-7176
Is Sole Proprietor?:No
Enumeration Date:2015-11-22
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS885547363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care