Sparks, Jordan

Sparks, Jordan is an individual health care provider with primary practice located at 3527 N Valdosta Rd , Valdosta GA 31602-6418. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Sparks, Jordan can be contacted via phone (229) 520-7590.

Contact Information

Primary practice address
3527 N Valdosta Rd Valdosta GA 31602-6418
Phone: (229) 520-7590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 11552 Georgia
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X 11552 Georgia

Profile Details

NPI number 1245925544
LBN Legal business name Sparks, Jordan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2023
Last updated Apr 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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