Individual provider · Type 1 NPI
Trista Sparkman
Psychiatric/Mental Health Nurse Practitioner · Brandon, MS
NPI number
1609669688
Active
Practice location
286 Booker Lake Rd
Brandon, MS 39042-2568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 907090 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609669688
Trista Sparkman's National Provider Identifier is 1609669688, issued on May 23, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brandon, MS. The record was last updated on May 23, 2025.