Healthcare Provider Details

I. General information

NPI: 1730095332
Provider Name (Legal Business Name): SARAH NICOLE OSBORNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NIKKI OSBORNE

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL CENTER DR
HAZARD KY
41701-9421
US

IV. Provider business mailing address

130 SOLOMON LN
EMMALENA KY
41740-9135
US

V. Phone/Fax

Practice location:
  • Phone: 606-422-7697
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number1164901
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: