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General NPI Number Information
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NPI Number | 1437571353
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Entity Type | Individual
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Provider Name | NICOLE SPARKMAN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2014
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 482 INTERSTATE DR
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City | MANCHESTER
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State | TN
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Zip | 37355-3485
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Country | US
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Telephone | 931-444-1000
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Fax | 931-728-1229
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Provider Business Mailing Address
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Address Line | 333 COMMERCE ST STE 700
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City | NASHVILLE
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State | TN
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Zip | 37201-1835
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Country | US
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Telephone | 615-454-9850
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 18239
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 18239
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License Number State | TN
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