Provider Demographics
NPI:1972398881
Name:ERNST, SENTARA QUIANN (FNPC)
Entity type:Individual
Prefix:
First Name:SENTARA
Middle Name:QUIANN
Last Name:ERNST
Suffix:
Gender:
Credentials:FNPC
Other - Prefix:
Other - First Name:SENTARA
Other - Middle Name:QUIANN
Other - Last Name:SCARBOROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1505 S SALISBURY BLVD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7128
Mailing Address - Country:US
Mailing Address - Phone:410-936-5500
Mailing Address - Fax:
Practice Address - Street 1:1505 S SALISBURY BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7128
Practice Address - Country:US
Practice Address - Phone:410-936-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR271919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily