Provider Demographics
NPI:1952683666
Name:NEAL, SARAH LORRAINE (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LORRAINE
Last Name:NEAL
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LORRAINE
Other - Last Name:HARDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:975 E 3RD ST
Mailing Address - Street 2:BOX 247
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2147
Mailing Address - Country:US
Mailing Address - Phone:423-778-6742
Mailing Address - Fax:423-277-8631
Practice Address - Street 1:975 E 3RD ST
Practice Address - Street 2:BOX 247
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2147
Practice Address - Country:US
Practice Address - Phone:423-778-6742
Practice Address - Fax:423-277-8631
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16103363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care