Individual
MRS. SARAH PEARSON VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1024 KEITH DRIVE, PERRY, GA 31069
(478) 987-3445
(478) 987-3102
Mailing address
1024 KEITH DRIVE, PERRY, GA 31069
(478) 987-3445
(478) 987-3102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN117494
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN117494
GA BOARD OF NURSING LIC #
GA
Enumeration date
06/20/2007
Last updated
02/01/2016
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