Sandra Lee Jarvis in Clemmons - Pediatrics
Sandra Lee Jarvis - NPI 1720127145
Sandra Lee Jarvis is a Pediatrics in Clemmons, North Carolina. Sandra Lee Jarvis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sandra Lee Jarvis is 1720127145. The last update date is 2022-07-21.
Sandra Lee Jarvis's current location address is 6255 Towncenter Dr Ste 810, Clemmons, North Carolina. You can contact this provider via phone number 9805330993. The mailing address for Sandra Lee Jarvis is 6255 Towncenter Dr Ste 810, Clemmons, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lee Jarvis |
|---|---|
| Address | 6255 Towncenter Dr Ste 810, Clemmons, North Carolina |
| Phone Number | 9805330993 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1720127145 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 6255 Towncenter Dr Ste 810 |
|---|---|
| City | Clemmons |
| State | North Carolina (NC) |
| Post Code | 270129376 |
| Phone Number | 9805330993 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 0050-00468 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70003712 | NC | -- | |
| NP3666 | SC | -- |
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What is the Sandra Lee Jarvis's unique identification number?
The Sandra Lee Jarvis has been assigned the NPI (National Provider Identifier) Number 1720127145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Sandra Lee Jarvis located?
The Sandra Lee Jarvis is located at 6255 Towncenter Dr Ste 810, Clemmons, NC 270129376.
What is Sandra Lee Jarvis's area of expertise and its corresponding taxonomy classification?
The Sandra Lee Jarvis's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sandra Lee Jarvis receive the assignment of its 1720127145 from the Centers for Medicare & Medicaid Services?
The Sandra Lee Jarvis was issued its 1720127145 by the Centers for Medicare & Medicaid Services on 2007-02-05.
When was the information related to Sandra Lee Jarvis most recently updated or refreshed?
The details pertaining to the Sandra Lee Jarvis, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.