Individual provider · Type 1 NPI

Samantha Jo Sparks, FNP-BC

Family Nurse Practitioner · Madison, IN

NPI number 1235893447 Active

Practice location

1373 E State Road 62
Madison, IN 47250-7328

Mailing address

16601 State Road 250
Rising Sun, IN 47040-8725

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28213316A (IN)
Family Nurse Practitioner Primary 363LF0000X71011714A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1235893447

Samantha Jo Sparks, FNP-BC's National Provider Identifier is 1235893447, issued on Oct 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Madison, IN. The record was last updated on Oct 25, 2021.