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Individual
SIDNEY SPARKS
Active
Individual
SIDNEY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024174530
VA
363LF0000X
Family Nurse Practitioner
Primary
22225
TN
363LP2300X
Primary Care Nurse Practitioner
22225
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437698321
—
VA
Enumeration date
02/13/2017
Last updated
05/01/2026
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