# SPARKS HEALTHCARE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396498853
- **Authorized official:** MARY E SPARKS CRNP (CRNP/OWNER)
- **Authorized official phone:** (205) 442-6541

## Contact information

- **Practice address:** 3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810-2445
- **Practice address phone:** (205) 442-6541
- **Mailing address:** 3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810-2445
- **Mailing address phone:** (205) 442-6541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 05/26/2022