Provider Demographics
NPI:1679228340
Name:WESLEYAN URGENT CARE, PLLC
Entity Type:Organization
Organization Name:WESLEYAN URGENT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ HEALTH CARE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA LYNN
Authorized Official - Middle Name:DOOLIN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-BC
Authorized Official - Phone:270-215-7755
Mailing Address - Street 1:3221 FREDERICA ST STE A
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-6086
Mailing Address - Country:US
Mailing Address - Phone:270-215-7756
Mailing Address - Fax:270-215-7758
Practice Address - Street 1:3221 FREDERICA ST STE A
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-6086
Practice Address - Country:US
Practice Address - Phone:270-215-7756
Practice Address - Fax:270-215-7758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty