Individual
DONNA JEAN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
13168 MEADOWVIEW SQUARE, MEADOWVIEW COMMUNITY HEALTH, MEADOWVIEW, VA 24361
(276) 944-3999
(276) 944-3882
Mailing address
P.O. BOX 729, 319 FIFTH AVE., SALTVILLE, VA 24370
(276) 496-4492
(276) 496-4839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024107429
VA
363LF0000X
Family Nurse Practitioner
0024107429
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010062411
—
VA
Enumeration date
10/05/2006
Last updated
04/22/2009
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