Provider Demographics
NPI:1851784805
Name:GULLEDGE, SARAH JEANNETTE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JEANNETTE
Last Name:GULLEDGE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:930 CARONDELET DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4855
Mailing Address - Country:US
Mailing Address - Phone:816-941-2222
Mailing Address - Fax:816-941-2282
Practice Address - Street 1:930 CARONDELET DR
Practice Address - Street 2:SUITE 201
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4855
Practice Address - Country:US
Practice Address - Phone:816-941-2222
Practice Address - Fax:816-941-2282
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS14-128690-062163W00000X
MO2015006327364SF0001X, 363L00000X
MO2009004805163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health