Kylie Sparks, NP
Individual provider Active NPI Family Nurse Practitioner · Folkston, GA
NPI 1376211656 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1376211656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3016306 (KY)
- Practice address
- 3026 Hwy 252
Folkston, GA 31537-2673 - Phone
- (202) 281-8059
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1147215 | KY | MD | Registered Nurse |
| 3016306 | KY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1147215 | KY | |
| Family Nurse Practitioner |
363LF0000X | 3016306 | KY | Yes |
Addresses
Primary practice location
3026 Hwy 252
Folkston, GA 31537-2673
Mailing address
142 Laurel Marsh Way
Kingsland, GA 31548-6193
Phone (606) 875-6040
Other providers in Folkston, GA
- Sarah Suzanne Ridgeway
- Brandi Robertson
- Robin C Rogers
- Carla Jeanette Rowe
- Shuman Health Care
- Sunbridge Charlton Healthcare LLC
- T Hoffler Enterprises Inc
- Taylor Pharmacy Group, Inc.
- Jillian Brooke Taylor
- Donna Kay Thompson-Lisiecki
All providers in Folkston, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.