IndividualActive
Jennifer Sparks, FNP-CNP
NPI 1780041384 · Family Nurse Practitioner · Beaver, OK
Provider details
- NPI number
- 1780041384
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-CNP
- Sex
- Female
- Sole proprietor
- No
- License
- R 0071514 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
718 Avenue a
Beaver, OK 73932-3101
Phone: (580) 625-3477
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1213
Laverne, OK 73848-1213
Registry dates
- Enumerated
- 2016-01-27
- Last updated
- 2021-09-19
- Certified
- 2021-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.