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Contact Information

TESSA SPARKS
HC 31
BOX 310
DEER, AR72628
 Phone: 870-428-5391
 Fax: 870-428-5392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TESSA SPARKS · (Female)

NPI # 1275071516
Status Active
Credentials
Entity Individual
Enumeration date 02/07/2017
Last updated 11/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AR License # A005003
  • AR Medicaid 150794749
  • AR Medicaid 222932758
  • AR Other 566466 BCBS
  • AR Other 5B477 MEDICARE
  • AR Other DA1111 RAILROAD MEDICARE
Hospital affiliation(s)
  • NORTH ARKANSAS REGIONAL MEDICAL CENTER - (Acute Care)
    620 NORTH MAIN STREET
    HARRISON, AR 72601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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