Individual
JEANNIE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1303 WATER PLANT RD, ZEBULON, NC 27597-8615
(919) 404-2474
(919) 375-4150
Mailing address
1303 WATER PLANT RD, ZEBULON, NC 27597-8615
(919) 404-2474
(919) 375-4150
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
342420
NC
363L00000X
Nurse Practitioner
Primary
RN151090
GA
363LP2300X
Primary Care Nurse Practitioner
5018645
NC
Other
Enumeration date
10/28/2015
Last updated
10/09/2025
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