Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Sprouse, FNP-C

Individual provider Family Nurse Practitioner · NPI 1922549773

Kimberly Sprouse, FNP-C is a Nurse Practitioner in Columbus, Mississippi. Qualified in 2016, 10 years ago. Practices with Med 360 Urgent Care Northport LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3189 Highway 45 N Ste H
Columbus, MS 39705-1251
Phone: (662) 570-4507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 901790 (MS)

Record details

NPI number1922549773
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Med 360 Urgent Care Northport Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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