Sparks, Rex

Sparks, Rex is an individual health care provider with primary practice located at 223 Madison St Ste 103 , Madison TN 37115-3660. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Sparks, Rex can be contacted via phone (615) 860-0808.

Contact Information

Primary practice address
223 Madison St Ste 103 Madison TN 37115-3660
Phone: (615) 860-0808
Fax: (615) 860-0809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7354 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 109043 Tennessee

Profile Details

NPI number 1285674333
LBN Legal business name Sparks, Rex
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 25th, 2021 - 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 1285674333 NPPES
Tennessee Other 4083351 BCBS

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