Chelsey Sparks Dba Decaturville Family Practice | |
187 W Main St Decaturville TN 38329-8078 | |
(731) 852-2761 | |
Not Available |
Full Name | Chelsey Sparks Dba Decaturville Family Practice |
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Speciality | Clinic/Center |
Location | 187 W Main St, Decaturville, Tennessee |
Authorized Official Name and Position | Chelsey Johnson Sparks (FNP) |
Authorized Official Contact | 7318522761 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chelsey Sparks Dba Decaturville Family Practice 187 W Main St Decaturville TN 38329-8078 Ph: (731) 852-2761 | Chelsey Sparks Dba Decaturville Family Practice 187 W Main St Decaturville TN 38329-8078 Ph: (731) 852-2761 |
NPI Number | 1730610452 |
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Provider Enumeration Date | 03/23/2017 |
Last Update Date | 06/22/2022 |
Medicare PECOS PAC ID | 3971872284 |
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Medicare Enrollment ID | O20170629002334 |
Identifier | Type | State | Issuer |
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1730610452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Chelsey Johnson Sparks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295008795 PECOS PAC ID: 9830351576 Enrollment ID: I20120425000774 |
Provider Name | Whitney Jackson Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427560531 PECOS PAC ID: 4587927538 Enrollment ID: I20180404002359 |
Provider Name | Jillian Elizabeth Ferrari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700494895 PECOS PAC ID: 5193144376 Enrollment ID: I20211102001958 |