Provider Demographics
NPI:1851893028
Name:DELK, SARAH (APN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DELK
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S WILLOW AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4668
Mailing Address - Country:US
Mailing Address - Phone:931-526-0087
Mailing Address - Fax:931-372-0087
Practice Address - Street 1:105 S WILLOW AVE STE 100
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4668
Practice Address - Country:US
Practice Address - Phone:931-526-0087
Practice Address - Fax:931-372-0087
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23891363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN23891OtherSTATE LICENSE