Provider Demographics
NPI:1255737888
Name:JINWRIGHT, SARA NICOLE (MED, CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:NICOLE
Last Name:JINWRIGHT
Suffix:
Gender:F
Credentials:MED, CCC SLP
Other - Prefix:
Other - First Name:NIKI
Other - Middle Name:HOPSON
Other - Last Name:JINWRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, CFY SLP
Mailing Address - Street 1:2739 WYNTERCREST LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4518
Mailing Address - Country:US
Mailing Address - Phone:267-978-0759
Mailing Address - Fax:
Practice Address - Street 1:3803B COMPUTER DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6541
Practice Address - Country:US
Practice Address - Phone:919-791-3582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11147235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist