Individual
KELLY SPARKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1032
(409) 839-1069
Mailing address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-2227
(409) 839-1069
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
594189
TX
Other
Enumeration date
12/11/2013
Last updated
03/30/2022
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