Provider Demographics
NPI:1871139394
Name:ATKINS, SARAH C
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:ATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 SALEM RD STE B3
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-4863
Mailing Address - Country:US
Mailing Address - Phone:501-219-0721
Mailing Address - Fax:501-585-2956
Practice Address - Street 1:9501 BAPTIST HEALTH DR STE 900
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6234
Practice Address - Country:US
Practice Address - Phone:501-219-0721
Practice Address - Fax:501-585-2956
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR122221363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner