JESSICA PAIGE SPARKS MSN APRN AGACNP-BC NPI 1306302468

NPI Information

NPI: 1306302468
Provider Name: JESSICA PAIGE SPARKS, MSN, APRN, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: ST. MARY'S MEDICAL MANAGEMENT, LLC

PECOS Registration: Yes

Address:
2828 1ST AVE STE 510
HUNTINGTON, WV
ZIP 25702
Phone: (304) 399-7548
Get Directions

Jessica Paige Sparks, MSN, APRN, AGACNP-BC is an acute care nurse practitioner in Huntington, WV with 6 years of experience. Jessica Paige Sparks, MSN, APRN, AGACNP-BC NPI is 1306302468. 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:

2828 1ST AVE STE 510
HUNTINGTON, WV
ZIP 25702-236
Phone: (304) 399-7548
Fax: (304) 399-7507

The NPI 1306302468 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 2/13/2019 and was last updated on 4/22/2021.

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
1	363LA2100X	Nurse Practitioner	Acute Care	3013165	KENTUCKY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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