Healthcare Provider Details

I. General information

NPI: 1760357701
Provider Name (Legal Business Name): SIERRA LYBARGER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16361 VILLAGE PARKWAY
FREDERICKTOWN OH
43019
US

IV. Provider business mailing address

16361 VILLAGE PKWY
FREDERICKTOWN OH
43019-9585
US

V. Phone/Fax

Practice location:
  • Phone: 740-399-3863
  • Fax: 740-399-3864
Mailing address:
  • Phone: 740-399-3863
  • Fax: 740-399-3864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP0039944
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: