Individual
MISS ALYSSA JANE SPARHAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1110 SW 47TH AVE, PLANTATION, FL 33317-4823
(865) 712-4777
Mailing address
1110 SW 47TH AVE, PLANTATION, FL 33317-4823
(865) 712-4777
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025024748
FL
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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