Individual provider · Type 1 NPI

Sparkle Green, ARNP

Nurse Practitioner · Lake City, FL

NPI number 1487683074 Active

Practice location

173 NW Albritton Ln
Lake City, FL 32055-4451

Fax (386) 752-9143

Mailing address

911 S Main St
Trenton, FL 32693-3239

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1181972 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487683074

Sparkle Green, ARNP's National Provider Identifier is 1487683074, issued on Jul 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake City, FL. The record was last updated on Mar 19, 2014.