Individual
JESSICA PAIGE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
2828 1ST AVE STE 510, HUNTINGTON, WV 25702-1236
(304) 399-7548
(304) 399-7507
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 908-9202
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3013165
KY
Other
Enumeration date
02/13/2019
Last updated
04/22/2021
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