Sparrow, Charlene Kelley

Sparrow, Charlene Kelley is an individual health care provider with primary practice located at 65 Germantown Ct Ste 207 , Cordova TN 38018-4258. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sparrow, Charlene Kelley can be contacted via phone (901) 878-3332.

Contact Information

Primary practice address
65 Germantown Ct Ste 207 Cordova TN 38018-4258
Phone: (901) 878-3332
Fax: (901) 350-7790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A810627 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18326 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9411328 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 810627 Mississippi

Profile Details

NPI number 1568868099
LBN Legal business name Sparrow, Charlene Kelley
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2014
Last updated Feb 9th, 2024 - about 10 months 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 1568868099 NPPES
Mississippi MEDICAID 04328749

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