Individual
MRS. JENNIFER KEYES SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
975 E 3RD ST # 376, CHATTANOOGA, TN 37403-2147
(423) 778-7234
(423) 778-7245
Mailing address
975 E 3RD ST # 376, CHATTANOOGA, TN 37403-2147
(423) 778-7234
(423) 778-7245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15942
TN
Other
Enumeration date
06/28/2011
Last updated
02/13/2012
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