Derrick, Sarah A.

Derrick, Sarah A. is an individual health care provider with primary practice located at 31 Carolina Oaks Dr , Fountain Inn SC 29644-8505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Derrick, Sarah A. can be contacted via phone (864) 980-3202.

Contact Information

Primary practice address
31 Carolina Oaks Dr Fountain Inn SC 29644-8505
Phone: (864) 980-3202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1958 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1958 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9388607 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5007132 North Carolina

Profile Details

NPI number 1578504924
LBN Legal business name Derrick, Sarah A.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578504924 NPPES
South Carolina Other P00810359 MEDICARE RAIL ROAD
South Carolina MEDICAID NP0738 MEDICARE RAIL ROAD

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