Individual
SARAH GAYLE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
445 MAIN ST E, MEADVILLE, MS 39653-9293
(601) 384-3720
(601) 384-3725
Mailing address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 825-7280
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902246
MS
363LF0000X
Family Nurse Practitioner
Primary
902246
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04201751
—
MS
01
—
672299
MEDICARE ST DOM
MS
01
—
P02257383
RAILROAD MEDICARE
MS
Enumeration date
01/15/2018
Last updated
09/29/2025
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