Provider Demographics
NPI:1073402681
Name:SALLEE, SARAH HOUP (APRN, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:HOUP
Last Name:SALLEE
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 DAVISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:KY
Mailing Address - Zip Code:40347-9734
Mailing Address - Country:US
Mailing Address - Phone:859-230-8729
Mailing Address - Fax:
Practice Address - Street 1:455 DAVISTOWN RD
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:KY
Practice Address - Zip Code:40347-9734
Practice Address - Country:US
Practice Address - Phone:859-230-8729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4036136363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health