Sparks, Jessica Diane
Sparks, Jessica Diane is an individual health care provider with primary practice located at 7938 Al Highway 69 Ste 350 , Guntersville AL 35976-7135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sparks, Jessica Diane can be contacted via phone (256) 571-8500.Contact Information
Primary practice address
7938 Al Highway 69 Ste 350
Guntersville AL 35976-7135
Phone: (256) 571-8500
Fax: (256) 571-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35699 | Alabama |
Profile Details
| NPI number | 1750757969 |
|---|---|
| LBN Legal business name | Sparks, Jessica Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2015 |
| Last updated | Mar 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750757969 | NPPES |
| Alabama | MEDICAID | 258300 |
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