Provider Demographics
NPI:1982770871
Name:FRANKLIN, SARAH ELAINE (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELAINE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELAINE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1011 EDEN WAY NORTH SUITE H
Mailing Address - Street 2:TPC CHESAPEAKE
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320
Mailing Address - Country:US
Mailing Address - Phone:757-953-6366
Mailing Address - Fax:
Practice Address - Street 1:1400 CROSSWAYS BLVD STE 114
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0207
Practice Address - Country:US
Practice Address - Phone:757-953-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001701363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0110001701OtherVA BOARD OF MEDICINE