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Individual
JESSICA K SPROULS
Active
Individual
JESSICA K SPROULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71018449A
IN
363LN0000X
Neonatal Nurse Practitioner
SP027653
PA
363LN0005X
Critical Care Neonatal Nurse Practitioner
SP027653
PA
Other
Enumeration date
06/07/2023
Last updated
09/01/2026
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