Healthcare Provider Details

I. General information

NPI: 1205012655
Provider Name (Legal Business Name): SARAH S JEPSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH S SACHS-JEPSON APRN

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 SW 15TH ST
TOPEKA KS
66604-4333
US

IV. Provider business mailing address

4100 SW 15TH ST
TOPEKA KS
66604-4333
US

V. Phone/Fax

Practice location:
  • Phone: 785-273-7871
  • Fax:
Mailing address:
  • Phone: 785-273-7871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number46093
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: