Individual
JANE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
380 WEST 100 NORTH, SUITE A, MONTICELLO, UT 84535-1054
(435) 587-5054
(435) 587-3495
Mailing address
380 WEST 100 NORTH, SUITE A, MONTICELLO, UT 84535-1054
(435) 587-5054
(435) 587-3495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67918724405
UT
363LF0000X
Family Nurse Practitioner
67918728900
UT
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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