Provider Demographics
NPI:1194343038
Name:DUNBAR, SARA (FNP-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 MARIETTA BLVD SUITE 306
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2020
Mailing Address - Country:US
Mailing Address - Phone:404-692-1050
Mailing Address - Fax:678-403-6686
Practice Address - Street 1:2250 MARIETTA BLVD SUITE 306
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2020
Practice Address - Country:US
Practice Address - Phone:404-692-1050
Practice Address - Fax:678-403-6686
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202004609RN163W00000X
OR202005509NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse