Healthcare Provider Details

I. General information

NPI: 1669032850
Provider Name (Legal Business Name): SARA ELIZABETH PARNELL PFMHNP, NPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CENTRAL PLZ STE B
ILION NY
13357-1753
US

IV. Provider business mailing address

1 S WASHINGTON ST STE 300
ROCHESTER NY
14614-1134
US

V. Phone/Fax

Practice location:
  • Phone: 315-444-1900
  • Fax: 315-883-3351
Mailing address:
  • Phone: 585-325-2280
  • Fax: 844-683-9216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number402664
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: