Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sarah Enstrom Shore, FNP-C

Individual provider Family Nurse Practitioner · NPI 1760209480

Sarah Enstrom Shore, FNP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2024, 2 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

501 Marshall St Ste G07
Jackson, MS 39202-1651
Phone: (601) 968-3238
Fax: (601) 968-3237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906746 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 894502 (MS)

Record details

NPI number1760209480
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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