| Doctor Name: | MRS. LAUREN HALL SPARKS |
| NPI Number: | 1073744553 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R872292 |
| Business Practice Address: | 100 Hospital St Suite 200 Booneville, MS - 388293354 |
| Business Phone Number: | 6627203000 |
| Business Fax Number: | 6627203069 |
| Mailing Address: | 126 County Road 4101, MARIETTA |
| State: | MS |
| Postal Code: | 388566253 |
| Phone Number: | 6624238604 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2009 |
| NPI Last Update Date: | 08/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R872292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |