Individual provider · NPI-1

Sara Jane Brown

Family Medicine · Mentor, OH

NPI number1003312760
StatusActive
Last updated in NPPESNov 29, 2021

Details

NPI
1003312760
Entity type
Individual (NPI-1)
Name
Sara Jane Brown
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2018
Certification date
Nov 29, 2021
Last updated
Nov 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35.142248OHYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

9500 Mentor Ave Ste 100
Mentor, OH 44060-8702

Phone 440-352-4880 · Fax 440-352-3629

Mailing address

30615 Willowick Dr
Willowick, OH 44095-3748

Phone 440-796-7763

Other practice locations

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Phone 216-778-4486

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Mentor, OH