Provider Demographics
NPI:1649687666
Name:SKINNER, SARAH ASHLEY (APRN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ASHLEY
Last Name:SKINNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 BARDSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3045
Mailing Address - Country:US
Mailing Address - Phone:502-233-8048
Mailing Address - Fax:502-373-1288
Practice Address - Street 1:6610 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3045
Practice Address - Country:US
Practice Address - Phone:502-233-8048
Practice Address - Fax:502-373-1288
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily