Provider Demographics
NPI:1326710898
Name:SPROUSE, HOPE (NP)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:SPROUSE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 985
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-0985
Mailing Address - Country:US
Mailing Address - Phone:864-441-0009
Mailing Address - Fax:864-441-0493
Practice Address - Street 1:801 W MAIN ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-2717
Practice Address - Country:US
Practice Address - Phone:864-441-0009
Practice Address - Fax:864-441-0493
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25174164W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse