JETTA SPARKS APRN NPI 1154707883

NPI Information

  • NPI: 1154707883
  • Provider Name: JETTA SPARKS, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: SC HOUSE CALLS INC.
    111 DOCTORS CIR.
    COLUMBIA, SC
    ZIP 29203
  • Phone: (800) 491-0909

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NPI Details

Jetta Sparks, APRN is a family nurse practitioner in Columbia, SC with 11 years of experience. Jetta Sparks, APRN NPI is 1154707883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

SC HOUSE CALLS INC.
111 DOCTORS CIR.
COLUMBIA, SC
ZIP 29203
Phone: (800) 491-0909

The NPI 1154707883 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 2/6/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyCOA.17583-NPOHIONo
2363LF0000XNurse PractitionerFamily30134SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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