MEDICARE: SARAH HALL, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1689531857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH HALL, PMHNP

Provider Business Mailing Address
First Line	:	928 SWAN ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-1810
Country	:	US
Telephone Number	:	502-727-5360
Fax Number	:	502-237-6786

Provider Business Practice Location Address
First Line	:	928 SWAN ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-1810
Country	:	US
Telephone Number	:	502-727-5360
Fax Number	:	502-237-6786

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	SARAH ELIZABETH HALL
Credential	:	APRN, PMHNP
Telephone Number	:	502-727-5360

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/12/2026

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