Individual
TAMMY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
921 N WALNUT ST, CAMERON, MO 64429-1341
(816) 632-2111
Mailing address
921 N WALNUT ST, CAMERON, MO 64429-1341
(816) 632-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017004794
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2024027180
MO
Other
Enumeration date
03/06/2017
Last updated
11/19/2024
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