Individual
SARAH ENSTROM SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 MARSHALL ST STE G07, JACKSON, MS 39202-1651
(601) 968-3238
(601) 968-3237
Mailing address
PO BOX 2153 DEPT 1947, BIRMINGHAM, AL 35287-0001
(601) 292-4562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
894502
MS
363LF0000X
Family Nurse Practitioner
Primary
906746
MS
Other
Enumeration date
09/24/2024
Last updated
10/15/2024
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