Most Relevant Information
Provider Data
| NPI Number: | 1003561762 |
| Provider Name: | JAMIE SPARKS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2022 |
| Last Updated: | 02/21/2022 |
Provider Practice Location
401 CENTER ST FRNT B
IRONTON
OH
456381519
Practice Location Phone/Fax
| Phone: | 7404795135 |
| Fax: |
Provider Mailing Location
224 28TH ST
ASHLAND
KY
411011905
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |