Sparks, Allie

Sparks, Allie is an individual health care provider with primary practice located at 2505 College Ave , Conway AR 72034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sparks, Allie can be contacted via phone (501) 327-6000.

Contact Information

Primary practice address
2505 College Ave Conway AR 72034
Fax: (501) 450-7559
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26665 Tennessee

Profile Details

NPI number 1760024269
LBN Legal business name Sparks, Allie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2019
Last updated Mar 25th, 2022 - about 3 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 1760024269 NPPES
Tennessee Other 26665 TN HEALTH LICENSE

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