Individual
JEREMY SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2912 KING ST, JONESBORO, AR 72401-5321
(501) 661-0720
(501) 325-7938
Mailing address
PO BOX 56050, LITTLE ROCK, AR 72215-6050
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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