MEDICARE: DR. SARAH E. CECIL DNP, APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11005362	FL
2	363LF0000X	Family Nurse Practitioner	3002917	KY
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11005362	FL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3002917	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255371985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH E. CECIL DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	717 ALLENRIDGE PT
Second Line	:	STE 140
City	:	LEXINGTON
State	:	KY
Zip	:	40510-1021
Country	:	US
Telephone Number	:	859-469-9218
Fax Number	:	859-523-6269

Provider Business Practice Location Address
First Line	:	325 CLYDE MORRIS BLVD STE 390
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8179
Country	:	US
Telephone Number	:	386-676-6335
Fax Number	:	386-256-7629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	01/04/2024

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Directions to “ DR. SARAH E. CECIL DNP, APRN, FNP-BC” Practice Location

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