Sparks, Ashley N

Sparks, Ashley N is an individual health care provider with primary practice located at 821 N State Road 135 , Greenwood IN 46142-1314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sparks, Ashley N can be contacted via phone (317) 560-4300.

Contact Information

Primary practice address
821 N State Road 135 Greenwood IN 46142-1314
Phone: (317) 560-4300
Fax: (317) 530-9084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004970A Indiana

Profile Details

NPI number 1114179900
LBN Legal business name Sparks, Ashley N
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated Apr 5th, 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 1114179900 NPPES
Indiana Other P01347741 MEDICARE RR PTAN
Indiana Other IN3249010 MEDICARE RR PTAN
Indiana MEDICAID 201239050 MEDICARE RR PTAN

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