Individual
MS. SARA JANE ADAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
330B HIGHWAY 90, GAUTIER, MS 39553-5744
(228) 497-0434
Mailing address
14812 NASSAU DR, BILOXI, MS 39532-5713
(228) 697-6238
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R864450
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
04/01/2020
Last updated
04/01/2020
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