Provider Demographics
NPI:1568715340
Name:SAPP, AMBER LAINE (NP)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:LAINE
Last Name:SAPP
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:LAINE
Other - Last Name:ALBRITTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2002 PALMYRA RD ST 101
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701
Mailing Address - Country:US
Mailing Address - Phone:229-312-5565
Mailing Address - Fax:229-889-7141
Practice Address - Street 1:2002 PALMYRA RD ST 101
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701
Practice Address - Country:US
Practice Address - Phone:229-312-5565
Practice Address - Fax:229-889-7141
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN174507363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily