Sparks, Samantha Jo

Sparks, Samantha Jo is an individual health care provider with primary practice located at 1373 E State Road 62 , Madison IN 47250-7328. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sparks, Samantha Jo can be contacted via phone (812) 801-0800.

Contact Information

Primary practice address
1373 E State Road 62 Madison IN 47250-7328
Phone: (812) 801-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28213316A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71011714A Indiana

Profile Details

NPI number 1235893447
LBN Legal business name Sparks, Samantha Jo
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2021
Last updated Oct 25th, 2021 - about 5 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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