Individual provider · Type 1 NPI

Keely Sparks, APRN

Gerontology Nurse Practitioner · Little Rock, AR

NPI number 1831721059 Active

Practice location

10100 Kanis Rd
Little Rock, AR 72205-6202

Fax (501) 255-6400

Mailing address

5360 Chateau Dr
Conway, AR 72034-7830

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X123828 (AR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1831721059

Keely Sparks, APRN's National Provider Identifier is 1831721059, issued on Feb 5, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Little Rock, AR. The record was last updated on Mar 18, 2020.