Individual
JENNIFER KAY SPRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 521-0890
Mailing address
7639 BAYVIEW CLUB DR APT 3C, INDIANAPOLIS, IN 46250-2470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99034126A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016276
—
IN
Enumeration date
09/06/2008
Last updated
09/28/2020
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