Healthcare Provider Details

I. General information

NPI: 1356040828
Provider Name (Legal Business Name): SARAH E FLOWERS RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 09/30/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 DOGPATCH SUITE 2
LONDON KY
40741
US

IV. Provider business mailing address

2642 LESLIE RD
BURKESVILLE KY
42717-9748
US

V. Phone/Fax

Practice location:
  • Phone: 606-770-5121
  • Fax:
Mailing address:
  • Phone: 270-459-0761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4059812
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: