Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNE KATHLEEN SPARKS, PA-C
ActiveJEANNE KATHLEEN SPARKS, PA-C is a Dermatology healthcare provider located in SPARKS, Maryland. NPI 1932486644 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SPARKS, MD
Registration Details
- NPI Number
- 1932486644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2011 (14.750663012014 yrs)
- Last Updated
- Apr 7, 2014
- License
-
C0004611 (MD)
Practice Information
- Address
-
10 FILA WAYSUITE 205SPARKS, MD, 211529452Browse MD providers · Browse ZIP 21152
- Phone
- 4104721006
- Fax
- 4104720900
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.