Healthcare Provider Details

I. General information

NPI: 1063361079
Provider Name (Legal Business Name): SARAH ANN FEARIN ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 MEDICAL CIR
MOREHEAD KY
40351-1179
US

IV. Provider business mailing address

93 DOROTHY ST
FLEMINGSBURG KY
41041-8112
US

V. Phone/Fax

Practice location:
  • Phone: 606-783-6500
  • Fax:
Mailing address:
  • Phone: 606-783-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4052369
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number4052369
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: