Individual
MRS. AMY NICOLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2200 N SECTION ST, SULLIVAN, IN 47882-7523
(812) 268-4311
(812) 268-2544
Mailing address
3249 S 1100 W, LYONS, IN 47443-7026
(812) 798-3698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28239026
IN
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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