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General NPI Number Information
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NPI Number | 1548645047
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Entity Type | Individual
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Provider Name | ELIZABETH JO SPARKMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 07/25/2015
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 18615 TUSCANY STONE STE 250
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3504
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Country | US
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Telephone | 726-207-5519
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Fax | 726-245-0052
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Provider Business Mailing Address
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Address Line | 18615 TUSCANY STONE STE 250
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3504
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Country | US
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Telephone | 726-207-5519
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Fax | 726-245-0052
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 002491186
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP128615
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A183377
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP128615
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License Number State | TX
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