Provider Demographics
NPI:1255645024
Name:JAMIESON, SARAH E (RN, MSN, ANP-BC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:JAMIESON
Suffix:
Gender:F
Credentials:RN, MSN, ANP-BC
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:MANGANARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:259 E ERIE
Mailing Address - Street 2:13TH FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-695-6800
Mailing Address - Fax:312-695-2772
Practice Address - Street 1:259 E ERIE STREET
Practice Address - Street 2:13TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-695-6800
Practice Address - Fax:312-695-2772
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2261822363LA2200X
GA218868363LA2200X
IL209011847363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health