Provider Demographics
NPI:1992459986
Name:IRONS, SARAH FERGUSON (NP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:FERGUSON
Last Name:IRONS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9433 APPLE BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5180
Mailing Address - Country:US
Mailing Address - Phone:803-271-1817
Mailing Address - Fax:
Practice Address - Street 1:9433 APPLE BLOSSOM DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-5180
Practice Address - Country:US
Practice Address - Phone:803-271-1817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183157363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health