Provider Demographics
NPI:1871045856
Name:BOND, SARAH MELISSA (AG-ACNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MELISSA
Last Name:BOND
Suffix:
Gender:F
Credentials:AG-ACNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:BRANAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AG-ACNP-BC
Mailing Address - Street 1:2104 PALOMAR CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1369
Mailing Address - Country:US
Mailing Address - Phone:859-684-4846
Mailing Address - Fax:
Practice Address - Street 1:1140 LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9330
Practice Address - Country:US
Practice Address - Phone:502-868-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010819363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner