Paige Sparks Valid NPI
Individual provider · Family Nurse Practitioner · Ecru, MS
- NPI
- 1669170262
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 905800 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-02-22
- Last updated
- 2023-08-03
Practice location
5482 Ms-15
Ecru, MS 38841
(662) 488-8799