Individual
TAYLOR RENEA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
130 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-2222
Mailing address
199 ROSS RD, LANCASTER, KY 40444-9728
(859) 339-4802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4033627
KY
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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