Individual
HOLLY SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
2196 SAMS CREEK RD, PEGRAM, TN 37143-5042
(615) 775-4861
Mailing address
2196 SAMS CREEK RD, PEGRAM, TN 37143-5042
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN0000107137
TN
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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