Shawntay Sparks, ACNP-BC
Shawntay Sparks, ACNP-BC is a Nurse Practitioner in Mineral Wells, Texas. Qualified in 2021, 5 years ago. Practices with Providence Health Alliance, a 122-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.
- Years since qualifying
- 5
- Licensed in
- TX
- In the registry since
- 2021
Practice location Address checks out
400 SW 25th AveMineral Wells, TX 76067-8246
Phone: (325) 647-6979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 1044883 (TX) |
|---|
Record details
| NPI number | 1144899741 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ACNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2021 |
| Last updated in NPPES | June 18, 2021 |
| Certification date | June 18, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Providence Health Alliance — 122 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 6 on file with Medicare |