# MR. BENJAMIN ASHBY SPARKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790460269
- **Gender:** Man
- **Credential:** MSN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 13477889-8900 | UT | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 227138 | AZ | — |

## Other

- **Enumeration date:** 06/21/2023
- **Last updated:** 01/22/2025