National Provider Identifier

Sara Jayne Upchurch, LPN

Sara Jayne Upchurch, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (585) 789-7429.

NPI 1962178780Ontario, NYLicensed Practical Nurse

Profile Overview

NPI
1962178780
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 20, 2021
Last Updated
August 20, 2021

Practice Location

  • 5797 Coppersmith Trl
  • Ontario, NY 14519-9538

Phone: (585) 789-7429

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1962178780
Entity Type
Individual
Last Name
Upchurch
First Name
Sara
Middle Name
Jayne
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
5797 Coppersmith Trl
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-9538
Mailing Country
US
Mailing Phone
(585) 789-7429
Practice Street Address
5797 Coppersmith Trl
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-9538
Practice Country
US
Practice Phone
(585) 789-7429
Enumeration Date
August 20, 2021
Last Updated
August 20, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
August 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)