Basic Information
| Provider Information | |||||||||
| NPI: | 1205065984 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | LYTTLE | ||||||||
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| Credential: | RN, C-PNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2072 LAKESIDE CENTRE WAY | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8656701560 | ||||||||
| FaxNumber: | 8656701862 | ||||||||
| Practice Location | |||||||||
| Address1: | 2072 LAKESIDE CENTRE WAY | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 379226591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8656701560 | ||||||||
| FaxNumber: | 8656701862 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2009 | ||||||||
| LastUpdateDate: | 07/02/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 14086 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.