Provider Demographics
NPI:1538417548
Name:TRIPP, SARAH SABRI (FNP-C, CPNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SABRI
Last Name:TRIPP
Suffix:
Gender:F
Credentials:FNP-C, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2510
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-2510
Mailing Address - Country:US
Mailing Address - Phone:703-922-8251
Mailing Address - Fax:706-922-6695
Practice Address - Street 1:1701 MAGNOLIA WAY STE 101
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-9484
Practice Address - Country:US
Practice Address - Phone:706-922-6600
Practice Address - Fax:706-650-0239
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC214450363L00000X
GARN160040363L00000X, 363LF0000X
SCAPN.17989 RX363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics