Doctor Name: | MRS. JENNIFER IRENE SARNO |
NPI Number: | 1003128240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNP-BC |
License Number: | 177164 |
Business Practice Address: | 780 Canton Rd Ne Suite 400 Marietta, GA - 300607241 |
Business Phone Number: | 7704223602 |
Business Fax Number: | |
Mailing Address: | 780 Canton Rd Ne, Suite 400 MARIETTA |
State: | GA |
Postal Code: | 300607241 |
Phone Number: | 7704223602 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2010 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 177164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |