Individual
SARAH JEANETTE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8640 SUDLEY ROAD, SUITE 306, MANASSAS, VA 20110-4404
(703) 330-3939
(703) 331-0959
Mailing address
8640 SUDLEY ROAD, SUITE 306, MANASSAS, VA 20110-4404
(703) 330-3939
(703) 331-0959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024166266
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02416626
VA LICENSE
VA
05
—
1982865218
—
VA
Enumeration date
06/19/2008
Last updated
07/02/2020
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