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Individual

JENNIFER ANN SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 ST LUKES LN, STROUDSBURG, PA 18360-6217
(272) 212-2300
Mailing address
150 OLD KETTLE CT, STROUDSBURG, PA 18360-7145
(570) 856-0801

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN678992
PA
363L00000X
Nurse Practitioner
Primary
SP024806
PA

Other

Enumeration date
08/26/2021
Last updated
07/26/2025
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