Organization
ASPARKLE INCLUSIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HORTENSE K BISSILA APRN (PMHNP- PROVIDER)
(901) 800-1037
Entity
Organization
Contact information
Practice address
8225 ROCKCREEK PKWY, CORDOVA, TN 38016-4594
(901) 800-1037
(877) 669-2745
Mailing address
1750 LICHFIELD CT, CORDOVA, TN 38016-3561
(901) 800-1037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
02/01/2023
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