CHARLENE KELLEY SPARROW PMHNP-BC NPI 1568868099

NPI Information

NPI: 1568868099
Provider Name: CHARLENE KELLEY SPARROW, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
65 GERMANTOWN CT STE 207
CORDOVA, TN
ZIP 38018
Phone: (901) 878-3332
Get Directions

Charlene Kelley Sparrow, PMHNP-BC is a psychiatric/mental health nurse practitioner in Cordova, TN with 11 years of experience. Charlene Kelley Sparrow, PMHNP-BC NPI is 1568868099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

65 GERMANTOWN CT STE 207
CORDOVA, TN
ZIP 38018-258
Phone: (901) 878-3332
Fax: (901) 350-7790

The NPI 1568868099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2014 and was last updated on 2/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A810627	MISSISSIPPI	No
2	363LF0000X	Nurse Practitioner	Family	18326	TENNESSEE	No
3	363LF0000X	Nurse Practitioner	Family	9411328	FLORIDA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	810627	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04328749	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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