Provider Demographics
NPI:1447609060
Name:FERRILLO, SARAH BETH (NP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:FERRILLO
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BETH
Other - Last Name:BALLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1535 WATOGA WAY
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7508
Mailing Address - Country:US
Mailing Address - Phone:843-284-8420
Mailing Address - Fax:
Practice Address - Street 1:9215 BLUE JAY LN
Practice Address - Street 2:
Practice Address - City:AWENDAW
Practice Address - State:SC
Practice Address - Zip Code:29429-6313
Practice Address - Country:US
Practice Address - Phone:843-284-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20025363LP0808X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health