Provider Demographics
NPI:1205591633
Name:ARNETT, SARAH (LPN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ARNETT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 E CHILHOWIE AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2726
Mailing Address - Country:US
Mailing Address - Phone:423-217-5639
Mailing Address - Fax:
Practice Address - Street 1:1511 E CHILHOWIE AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2726
Practice Address - Country:US
Practice Address - Phone:423-217-5639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN92640164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse