Provider Demographics
NPI:1548645047
Name:SPARKMAN, ELIZABETH JO (APRN)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JO
Last Name:SPARKMAN
Suffix:
Gender:F
Credentials:APRN
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Other - Credentials:
Mailing Address - Street 1:18615 TUSCANY STONE STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3504
Mailing Address - Country:US
Mailing Address - Phone:726-207-5519
Mailing Address - Fax:726-245-0052
Practice Address - Street 1:18615 TUSCANY STONE STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3504
Practice Address - Country:US
Practice Address - Phone:726-207-5519
Practice Address - Fax:726-245-0052
Is Sole Proprietor?:No
Enumeration Date:2015-07-25
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA183377363LF0000X
VA002491186363LF0000X
TXAP128615363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily