Individual
JESSICA T SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6115
Mailing address
PO BOX 1107, DESOTO, TX 75123-1107
(972) 223-3976
(972) 223-4063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101054
NC
Other
Enumeration date
09/07/2006
Last updated
11/27/2007
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