Provider Demographics
NPI:1407582059
Name:SPURLING, SYDNEY K (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:K
Last Name:SPURLING
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 BATTLEFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-8004
Mailing Address - Country:US
Mailing Address - Phone:706-858-3988
Mailing Address - Fax:
Practice Address - Street 1:4616 BATTLEFIELD PKWY
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-8004
Practice Address - Country:US
Practice Address - Phone:706-858-3988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32026363L00000X
GAGAA-NP001516363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner