Individual
MRS. ALEXIS DANIELLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1310 PLAZA CT, PLATTE CITY, MO 64079-7349
(816) 431-2150
Mailing address
16795 NW 132ND TER, PLATTE CITY, MO 64079-7346
(816) 838-1722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-140534-051
KS
363L00000X
Nurse Practitioner
Primary
2021027722
MO
Other
Enumeration date
01/18/2021
Last updated
12/12/2022
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