Provider Demographics
NPI:1063954097
Name:SHEETS, SABRINA NOAH (APRN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:NOAH
Last Name:SHEETS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 WEDGE CT
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-4328
Mailing Address - Country:US
Mailing Address - Phone:706-536-1323
Mailing Address - Fax:
Practice Address - Street 1:440 N DEAN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5150
Practice Address - Country:US
Practice Address - Phone:334-209-2339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1154231363L00000X
GA216735363L00000X
AL3-001889363L00000X
FL11033969363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner