Individual
MS. JANE G SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN, MSN
Contact information
Practice address
110 BLUE DEVIL DR, INDEPENDENCE, VA 24352
(888) 908-7541
Mailing address
PO BOX 9, LAUREL FORK, VA 24352-0009
(276) 398-2292
(276) 398-3331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001185255
VA
363L00000X
Nurse Practitioner
0024166932
VA
363L00000X
Nurse Practitioner
5011292
NC
363LF0000X
Family Nurse Practitioner
Primary
0024166932
VA
363LF0000X
Family Nurse Practitioner
5011292
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002354166932
NP LICENSE
VA
05
—
1033464060
—
VA
01
—
5010297
LICENSE
NC
Enumeration date
04/06/2006
Last updated
03/24/2026
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