SHIRLEY SPARLIN (NPI# 1558830232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558830232 |
Entity Type | Individual |
Full Name | SHIRLEY SPARLIN |
Credential | AGNP |
Practice Address |
647 Dunlop Ln Ste 200 Clarksville TN 37040-5165 |
Mailing Address |
1502 S Freestone Dr Clarksville TN 37042-5350 |
Practice Telephone | 9316480064 |
Practice Fax Number | 9315534215 |
Mailing Telephone | 9312166315 |
Enumeration Date | 2018-11-25 |
Last Update Date | 2019-08-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
25169 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
25169 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q046752 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
647 Dunlop Ln Ste 116, Clarksville, TN 370405165 | 9316480064 |
Street Address |
647 DUNLOP LN STE 200 |
City | CLARKSVILLE |
State | TN |
Zip Code | 37040-5165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487657722 | Philip Thomas Madaelil | Internal Medicine | 647 Dunlop Ln Ste 200, Clarksville, TN 37040-5165 | 2005-05-31 |
1356810089 | Sara Tenille Cottrell | Nurse Practitioner | 647 Dunlop Ln Ste 200, Clarksville, TN 37040-5165 | 2018-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
Find all providers in zip 37040 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728272 | Sophie Jernigan | Nurse Practitioner | 561 Elaine Dr, Nashville, TN 37211-3629 | 2020-10-20 |
1376187849 | Prospero Health Partners, P.C. | Nurse Practitioner | 40 S Main St Ste 1300, Memphis, TN 38103-5513 | 2019-10-29 |
1447814017 | Terri Barger | Nurse Practitioner | 55 Chamberlain Dr, Humboldt, TN 38343-8568 | 2019-04-29 |
1114493848 | Sabrina Stover | Nurse Practitioner | 721 Glenwood Dr Ste W552, Chattanooga, TN 37404-1137 | 2018-10-20 |
1164876876 | Charlotte Bisanz | Nurse Practitioner | 5400 Maryland Way, Brentwood, TN 37027-1005 | 2016-04-19 |
1639573025 | Charlotte Halkiades | Nurse Practitioner | 5125 Clearpool Pt S, Memphis, TN 38141-0253 | 2014-10-15 |
1699109660 | Senior Health Professionals LLC | Nurse Practitioner | 300 Celebration Cir, Franklin, TN 37067-1401 | 2013-08-27 |
1982980231 | Health Partners of Tennessee LLC | Nurse Practitioner | 137 De Armond Rd, Kingston, TN 37763-6415 | 2011-11-01 |
1174816375 | Ruby K Dunlap | Nurse Practitioner | 564 Rosedale Ave, Nashville, TN 37211-2048 | 2011-05-20 |
1497056337 | Cameron S Wright | Nurse Practitioner | 303 S Royal Oaks Blvd, Franklin, TN 37064-8216 | 2010-11-09 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37040 |
Please comment or provide details below to improve the information on SHIRLEY SPARLIN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.