Sparks, Jessica

Sparks, Jessica is an individual health care provider with primary practice located at 784 Highway 36 , Frenchburg KY 40322-8123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sparks, Jessica can be contacted via phone (606) 768-9190.

Contact Information

Primary practice address
784 Highway 36 Frenchburg KY 40322-8123
Fax: (606) 768-9180
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015405 Kentucky

Profile Details

NPI number 1760059497
LBN Legal business name Sparks, Jessica
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2021
Last updated Jul 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760059497 NPPES
Kentucky MEDICAID 7100749550

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