Provider Demographics
NPI:1427336502
Name:LEBLANC, SARA MARCELLE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:MARCELLE
Last Name:LEBLANC
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:LEBLANC
Other - Last Name:SAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:635 RIVER ROUGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-1660
Mailing Address - Country:US
Mailing Address - Phone:615-498-5195
Mailing Address - Fax:615-334-0246
Practice Address - Street 1:635 RIVER ROUGE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1660
Practice Address - Country:US
Practice Address - Phone:615-498-5195
Practice Address - Fax:615-334-0246
Is Sole Proprietor?:No
Enumeration Date:2011-07-24
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1525244Medicaid