Individual provider · Type 1 NPI

Sarah Jordyn-Mary Street, FNP-C

Nurse Practitioner · Charlotte, NC

NPI number 1720803497 Active

Practice location

6324 Fairview Rd Ste 201
Charlotte, NC 28210-4278

Call (704) 384-0588 Map

Fax (704) 384-0580

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X5021219 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X5021219 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720803497

Sarah Jordyn-Mary Street, FNP-C's National Provider Identifier is 1720803497, issued on Nov 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 6, 2025.