Provider Demographics
NPI:1609375450
Name:SPARKS, SARAH SHERMAN (CRNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SHERMAN
Last Name:SPARKS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 4TH AVE S STE CPPIIM30
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1723
Mailing Address - Country:US
Mailing Address - Phone:205-478-4980
Mailing Address - Fax:
Practice Address - Street 1:1600 7TH AVE S # CPPII230
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-9108
Practice Address - Fax:205-638-9821
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-145628163WP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0200XNursing Service ProvidersRegistered NursePediatrics