Individual
KELLY LYNN SPARKS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
515 SPARKMAN DR NW, HUNTSVILLE, AL 35816-3417
(256) 428-7560
(256) 428-7561
Mailing address
515 SPARKMAN DR NW, HUNTSVILLE, AL 35816-3417
(256) 428-7560
(256) 428-7561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-150754
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276227
—
AL
05
—
276564
—
AL
05
—
276573
—
AL
05
—
277515
—
AL
05
—
321451
—
AL
Enumeration date
10/30/2021
Last updated
03/15/2026
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