Healthcare Provider Details

I. General information

NPI: 1730611955
Provider Name (Legal Business Name): SARAH TIMBERLAKE SEAVER AGPCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2146 BLOWING ROCK RD
BOONE NC
28607-6154
US

IV. Provider business mailing address

2146 BLOWING ROCK RD
BOONE NC
28607-6154
US

V. Phone/Fax

Practice location:
  • Phone: 828-386-2300
  • Fax: 828-386-2301
Mailing address:
  • Phone: 828-386-2300
  • Fax: 828-386-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5009367
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5009367
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5009367
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: