Individual
ASHLEY N SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
821 N STATE ROAD 135, GREENWOOD, IN 46142-1314
(317) 560-4300
(317) 530-9084
Mailing address
821 N STATE ROAD 135, GREENWOOD, IN 46142-1314
(317) 560-4300
(317) 530-9084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004970A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201239050
—
IN
01
—
IN3249010
PTAN
—
01
—
P01347741
MEDICARE RR PTAN
IN
Enumeration date
10/13/2008
Last updated
04/05/2022
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