Provider Demographics
NPI:1487429346
Name:PEARSON, SARAH SHEASBY (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SHEASBY
Last Name:PEARSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:SHEASBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2230 GEORGE C MARSHALL DR APT 813
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2579
Mailing Address - Country:US
Mailing Address - Phone:936-718-5771
Mailing Address - Fax:
Practice Address - Street 1:3580 JOSEPH SIEWICK DR STE 101
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1764
Practice Address - Country:US
Practice Address - Phone:571-472-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024188625363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner