Individual provider · Type 1 NPI
Benjamin Ashby Sparks, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · St. George, UT
NPI number
1790460269
Active
Practice location
1067 E Tabernacle St
St. George, UT 84770-3163
Fax (801) 405-6284
Mailing address
6013 S Redwood Rd
Taylorsville, UT 84123-5220
Other practice locations
- 393 E Riverside Dr Ste 201, St. George, UT 84790-7124 · (435) 359-2364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 13477889-8900 (UT) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 227138 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790460269
Benjamin Ashby Sparks, MSN, PMHNP-BC's National Provider Identifier is 1790460269, issued on Jun 21, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. George, UT. The record was last updated on Jan 22, 2025.