Healthcare Provider Details

I. General information

NPI: 1982515474
Provider Name (Legal Business Name): SARA SHERLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 OAKLAWN CT
BRANDENBURG KY
40108-9267
US

IV. Provider business mailing address

185 OAKLAWN CT
BRANDENBURG KY
40108-9267
US

V. Phone/Fax

Practice location:
  • Phone: 812-572-3752
  • Fax:
Mailing address:
  • Phone: 812-572-3752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number4012707
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: