Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deloris Alice Sparkman

Individual provider Family Nurse Practitioner · NPI 1184490666

Deloris Alice Sparkman is a Nurse Practitioner in Hazard, Kentucky. Qualified in 2023, 3 years ago. Practices with Primary Care Centers of Eastern Kentucky LLC, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023
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Practice location Address checks out

101 Town And Country Ln
Hazard, KY 41701-9524
Phone: (606) 439-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31 Lauren Lane, Cornettsville, KY 41731-4173 — (606) 216-8277

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4010254 (KY)

Record details

NPI number1184490666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing addressPo Box 606, Cornettsville, KY 41731-0606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Primary Care Centers Of Eastern Kentucky Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hazard