Provider Demographics
NPI:1104345578
Name:HARBISON, SARA JO (MS, APRN-CNP, NP-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JO
Last Name:HARBISON
Suffix:
Gender:F
Credentials:MS, APRN-CNP, NP-C
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:JO
Other - Last Name:CHRISTIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 OLENTANGY RIVER RD STE 4000
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3154
Mailing Address - Country:US
Mailing Address - Phone:614-293-9431
Mailing Address - Fax:614-293-7292
Practice Address - Street 1:915 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3153
Practice Address - Country:US
Practice Address - Phone:614-293-9431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-16
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134198363LF0000X
OHAPRN.CNP.024130363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily