Whitney Bonner Sparks, NP
Nurse Practitioner, Family in Belmont, MS. Individual provider (NPI-1).
NPI number1265865992
StatusActive
Last updated in NPPESOct 15, 2019
Details
- NPI
- 1265865992
- Entity type
- Individual (NPI-1)
- Name
- Whitney Bonner Sparks
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2013
- Last updated
- Oct 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R883463 | MS | Yes |
Practice location
26 3rd StBelmont, MS 38827-7737
Phone 662-454-4520 · Fax 662-454-4521
Mailing address
450 E President AveTupelo, MS 38801-5599
Phone 662-377-4685 · Fax 662-377-2755
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