Individual
SARA STREETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7585 CLARINGTON CV # 5656, SOUTHAVEN, MS 38671-5656
(662) 349-0200
Mailing address
928 PHILADELPHIA ST, MEMPHIS, TN 38104-5744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01011
MS
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
04/23/2026
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