Provider Demographics
NPI:1235568700
Name:DURNELL, SARAH ANN (FNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:DURNELL
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 959203
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-2197
Mailing Address - Country:US
Mailing Address - Phone:618-624-6181
Mailing Address - Fax:618-624-7172
Practice Address - Street 1:310 N 7 HILLS RD STE 220
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-4111
Practice Address - Country:US
Practice Address - Phone:618-624-6181
Practice Address - Fax:618-624-7172
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013018363L00000X
MO2013038980363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner