Provider Demographics
NPI:1457768558
Name:GEORGE, SARAH ELIZABETH (APRN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:GEORGE
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 1:2217 WOODSPRINGS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-8072
Mailing Address - Country:US
Mailing Address - Phone:870-336-4050
Mailing Address - Fax:870-336-4059
Practice Address - Street 1:2217 WOODSPRINGS RD
Practice Address - Street 2:SUITE A
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-8072
Practice Address - Country:US
Practice Address - Phone:870-520-6241
Practice Address - Fax:870-520-6254
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2016-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARA004118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR379236ZK1RMedicare PIN