Individual
JERRI SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 931-4201
Mailing address
4112 WALTERS RD, JONESBORO, AR 72404-9026
(870) 377-0323
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186685721
—
AR
Enumeration date
01/04/2011
Last updated
03/08/2023
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