Healthcare Provider Details

I. General information

NPI: 1245902477
Provider Name (Legal Business Name): SARAH FARMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 E REPUBLIC RD STE D200
SPRINGFIELD MO
65807-6012
US

IV. Provider business mailing address

909 E REPUBLIC RD STE D200
SPRINGFIELD MO
65807-6012
US

V. Phone/Fax

Practice location:
  • Phone: 417-883-7889
  • Fax:
Mailing address:
  • Phone: 417-883-7889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2021040419
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: