Individual
JESSICA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Mailing address
4581 TIMOTHY DR, GREEN, OH 44319-4550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021593
OH
390200000X
Student in an Organized Health Care Education/Training Program
RN.453761
OH
Other
Enumeration date
04/15/2026
Last updated
06/09/2026
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