Provider Demographics
NPI:1952995235
Name:DAVIS, SARAH JORDAN (FNP-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JORDAN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:COMPREHENSIVE PRIMARY CARE, LLC
Mailing Address - Street 2:3905 JOHNS CREEK COURT, SUITE 200
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1225
Mailing Address - Country:US
Mailing Address - Phone:678-888-2273
Mailing Address - Fax:678-888-2200
Practice Address - Street 1:COMPREHENSIVE PRIMARY CARE. LLC
Practice Address - Street 2:761 WALTHER ROAD, SUITE 200
Practice Address - City:LAWERENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:678-888-2279
Practice Address - Fax:678-888-2200
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA249005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily