Individual
MS. ANN M SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP, NP - C
Contact information
Practice address
421 N 9TH ST, SUITE 240, SPRINGFIELD, IL 62702-5317
(217) 545-8000
(217) 545-8103
Mailing address
PO BOX 19680, SPRINGFIELD, IL 62794-9680
(217) 545-8000
(217) 545-8103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-009806
IL
Other
Enumeration date
09/26/2012
Last updated
04/22/2013
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