NPI 1700235561

Jaquita Sparkman

Practitioner Other Technician Jackson, MS

Practice location

Address: 1045 Woodville Dr, Jackson, MS 39212-3955
Phone: (601) 813-2655
Mailing address: 1517 N Haskell Ave, Dallas, TX 75204-5161

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Mississippi →

Registry record

NPI: 1700235561
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2016
Record last updated: 11 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.