Sparks, Patricia D

Sparks, Patricia D is an individual health care provider with primary practice located at 901 Washington Street , Portsmouth OH 45662. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sparks, Patricia D can be contacted via phone (740) 354-7702.

Contact Information

Primary practice address
901 Washington Street Portsmouth OH 45662
Phone: (740) 354-7702
Fax: (740) 353-1662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN198778 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP07420 Ohio

Profile Details

NPI number 1962560797
LBN Legal business name Sparks, Patricia D
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Aug 14th, 2012 - about 12 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 1962560797 NPPES
Ohio MEDICAID 0200599
Ohio MEDICAID 2432666

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