Provider Demographics
NPI:1255371985
Name:CECIL, SARAH E (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:CECIL
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 ALLENRIDGE PT
Mailing Address - Street 2:STE 140
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40510-1021
Mailing Address - Country:US
Mailing Address - Phone:859-469-9218
Mailing Address - Fax:859-523-6269
Practice Address - Street 1:325 CLYDE MORRIS BLVD STE 390
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8179
Practice Address - Country:US
Practice Address - Phone:386-676-6335
Practice Address - Fax:386-256-7629
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005362363LF0000X, 363LP0808X
KY3002917363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78902442Medicaid
KYNP00062Medicare ID - Type Unspecified
P32051Medicare UPIN
KY78902442Medicaid