Individual provider · Type 1 NPI

Sarah Jane Waicus, MD

Student in an Organized Health Care Education/Training Program · Statesville, NC

NPI number 1164362174 Active

Practice location

557 Brookdale Drive, Iredell Health System
Statesville, NC 28677

Call (704) 878-4973 Map

Fax (704) 878-4568

Mailing address

124 E Kingston Ave, Apt 1304
Charlotte, NC 28203

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164362174

Sarah Jane Waicus, MD's National Provider Identifier is 1164362174, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Statesville, NC. The record was last updated on Aug 3, 2026.