Jessica Sparks

NPI 1013280957 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1013280957
Gender Female
Enumeration Date 02/22/2012
Last Updated 02/22/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
6202 S LEWIS AVE STE J
TULSA OK, 74136-1064, US
Phone (918) 584-4549
Fax
Business Location
650 S PEORIA AVE
TULSA OK, 74120-4429, US
Phone (918) 587-9471
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Jessica Sparks NPI is 1013280957, taxonomy code is 171M00000X Jessica Sparks physically located at 6202 S Lewis Ave Ste J, Tulsa OK, 74136-1064. NPI Number Jessica Sparks has the Individual type.

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1013280957 NPI number is provided on an as is basis without warranty of any kind. 1013280957 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Sparks are for informational purposes only.