Individual
SARA JANE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6324 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-3260
(704) 316-2680
(704) 316-2681
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022485
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2025
Last updated
11/13/2025
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