Organization · Type 2 NPI
Sparks Psychiatry PLLC
Psychiatric/Mental Health Nurse Practitioner · St. Paul, MN
NPI number
1376213280
Active
Practice location
445 Minnesota St Ste 1500
St. Paul, MN 55101-2269
Mailing address
3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376213280
Sparks Psychiatry PLLC's National Provider Identifier is 1376213280, issued on Sep 14, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Paul, MN. The record was last updated on Jul 29, 2026.