Individual
KIMBERLY SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3189 HIGHWAY 45 N, SUITE H, COLUMBUS, MS 39705-1251
(662) 570-4507
Mailing address
344 TOWN BRANCH RD, VERNON, AL 35592-5624
(662) 574-1099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901790
MS
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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