Healthcare Provider Details

I. General information

NPI: 1821538745
Provider Name (Legal Business Name): SHARLOTTE ASHLEY SARGENT MSN, APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4570 PECAN DR STE C
PADUCAH KY
42001-6717
US

IV. Provider business mailing address

4570 PECAN DR STE C
PADUCAH KY
42001-6717
US

V. Phone/Fax

Practice location:
  • Phone: 270-908-3839
  • Fax: 270-908-3834
Mailing address:
  • Phone: 270-908-3839
  • Fax: 270-908-3834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3011145
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3011145
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: