Sparkman, Nicole

Sparkman, Nicole is an individual health care provider with primary practice located at 482 Interstate Dr , Manchester TN 37355-3485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sparkman, Nicole can be contacted via phone (931) 444-1000.

Contact Information

Primary practice address
482 Interstate Dr Manchester TN 37355-3485
Phone: (931) 444-1000
Fax: (931) 728-1229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18239 Tennessee

Profile Details

NPI number 1437571353
LBN Legal business name Sparkman, Nicole
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2014
Last updated Feb 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437571353 NPPES
Kentucky MEDICAID 7100280680
Kentucky MEDICAID Q005004

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