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Individual

CHELSEY JOHNSON SPARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
187 W MAIN ST, DECATURVILLE, TN 38329-8078
(731) 852-2761
(731) 852-2781
Mailing address
115 E BROOKLYN ST, P O BOX 916, LINDEN, TN 37096-3515
(931) 589-2104
(931) 589-2513

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16496
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528159
TN
Enumeration date
02/14/2012
Last updated
07/10/2020
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