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Individual

ASHLEY NICOLE SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C, ENP-C

Contact information

Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001
Mailing address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RN271602
GA
363L00000X
Nurse Practitioner
RN271602
GA
363LF0000X
Family Nurse Practitioner
RN271602
GA

Other

Enumeration date
07/21/2022
Last updated
05/15/2024
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