Healthcare Provider Details

I. General information

NPI: 1417296336
Provider Name (Legal Business Name): SARAH TURNBULL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19550 E 39TH ST S STE 105
INDEPENDENCE MO
64057-1926
US

IV. Provider business mailing address

19550 E 39TH ST S STE 105
INDEPENDENCE MO
64057-1926
US

V. Phone/Fax

Practice location:
  • Phone: 816-833-0466
  • Fax: 816-833-4155
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2013004146
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: