Provider Demographics
NPI:1285270975
Name:MCCLAIN, SARA MCPHERSON (APRN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MCPHERSON
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2300 SE 17TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9139
Mailing Address - Country:US
Mailing Address - Phone:352-867-0444
Mailing Address - Fax:352-867-5522
Practice Address - Street 1:2300 SE 17TH ST STE 500
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9139
Practice Address - Country:US
Practice Address - Phone:352-867-0444
Practice Address - Fax:352-867-5522
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005122363L00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No174400000XOther Service ProvidersSpecialist