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Jetta Sparks
Family Nurse Practitioner in Chillicothe, Ohio
NPI 1154707883

Jetta Sparks is a Family Nurse Practitioner based in Chillicothe, OH and is specialized in Family. Jetta Sparks practices in Chillicothe, OH. The NPI Number for Jetta Sparks is 1154707883 and holds a License No. COA.17583-NP (Ohio).

The current practice location address for Jetta Sparks is 4457 State Route 159, Chillicothe, OH and can be reached out via phone at 740-779-7813.

Location: 4457 State Route 159, Chillicothe, OH, 45601-8620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154707883
Provider Name
Jetta Sparks
Credential
Provider Entity Type
Individual
Gender
Female
Address
4457 State Route 159, Chillicothe, OH, 45601-8620
Phone Number
740-779-7813
Fax Number
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4457 State Route 159
City
Chillicothe
State
Ohio
Zip
45601-8620
Phone Number
740-779-7813
Fax Number
person
Provider Business Mailing Address Details
Address
4457 State Route 159
City
Chillicothe
State
Ohio
Zip
45601-8620
Phone Number
740-779-7813
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA.17583-NP (Ohio)
Definition
Definition to come...
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