Individual provider · Type 1 NPI

Penny Sparks, FNP

Family Nurse Practitioner · Charlotte, NC

NPI number 1336282102 Active

Practice location

249 Billingsley Rd
Charlotte, NC 28211-1003

Call (704) 336-6445 Map

Fax (704) 336-4709

Mailing address

9909 Providence Forest Ln
Charlotte, NC 28270-0216

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200026 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1336282102

Penny Sparks, FNP's National Provider Identifier is 1336282102, issued on Feb 14, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2007.