Provider Demographics
NPI:1174982250
Name:JEWELL-WARD, SARAH NICOLE (DNP, APRN,PMHNP, FNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:JEWELL-WARD
Suffix:
Gender:F
Credentials:DNP, APRN,PMHNP, FNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:JEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN,PMHNP, FNP
Mailing Address - Street 1:PO BOX 23321
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-4321
Mailing Address - Country:US
Mailing Address - Phone:843-250-6906
Mailing Address - Fax:
Practice Address - Street 1:909 BLAZING TRL
Practice Address - Street 2:
Practice Address - City:TIMMONSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29161-9099
Practice Address - Country:US
Practice Address - Phone:843-250-6906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20023363LF0000X, 363LP0808X
COC-APN.0002294-C-NP363LP0808X
MECNP201180363LP0808X
FLAPRN11008927363LP0808X
NV833479363LP0808X
TX1114110363LP0808X
VA0024191225363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily