PENNY SPARKS

CHARLOTTE, NC
NPI1336282102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  200026)
Enumeration Date2007-02-14
Last Update Date2007-07-08
Business Address
-- PENNY SPARKS FNP
249 BILLINGSLEY RD
CHARLOTTE, NC 28211-1003
Phone number: 704-336-6445
Mailing Address
-- PENNY SPARKS FNP
9909 PROVIDENCE FOREST LN
CHARLOTTE, NC 28270-0216
Phone number: 704-847-8099
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