Individual
ALYSSA D SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5933 BLAKENEY PARK DR STE 200, CHARLOTTE, NC 28277-5763
(704) 295-3311
(704) 295-3322
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1070148
TX
363LF0000X
Family Nurse Practitioner
Primary
5023563
NC
Other
Enumeration date
05/03/2022
Last updated
12/16/2025
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