Provider Demographics
NPI:1366776429
Name:BRINKLEY, SARAH J (APN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:BRINKLEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 W CENTERTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-9705
Mailing Address - Country:US
Mailing Address - Phone:479-224-6368
Mailing Address - Fax:479-224-6383
Practice Address - Street 1:805 W CENTERTON BLVD
Practice Address - Street 2:
Practice Address - City:CENTERTON
Practice Address - State:AR
Practice Address - Zip Code:72719-9705
Practice Address - Country:US
Practice Address - Phone:479-224-6368
Practice Address - Fax:479-224-6383
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2009006906364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health