Provider Demographics
NPI:1922129345
Name:HUDGINS-SPARKS, CYNTHIA LANELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LANELLE
Last Name:HUDGINS-SPARKS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-8234
Mailing Address - Country:US
Mailing Address - Phone:501-772-4087
Mailing Address - Fax:507-257-6976
Practice Address - Street 1:2203 CAMPGROUND RAD
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-8234
Practice Address - Country:US
Practice Address - Phone:501-772-4087
Practice Address - Fax:507-257-6976
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR204939163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology