National Provider Identifier
Andrea Noelle Sparks, LPN
Andrea Noelle Sparks, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (716) 294-5406.
Profile Overview
- NPI
- 1417564931
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 29, 2020
- Last Updated
- September 29, 2020
Practice Location
- 411 W 3Rd St
- Jamestown, NY 14701-4801
Phone: (716) 294-5406
Mailing Address
- 84 Myrtle St
- Jamestown, NY 14701-8053
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1417564931
- Entity Type
- Individual
- Last Name
- Sparks
- First Name
- Andrea
- Middle Name
- Noelle
- Credential
- LPN
- Mailing Street Address
- 84 Myrtle St
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-8053
- Mailing Country
- US
- Mailing Phone
- (716) 640-0003
- Practice Street Address
- 411 W 3Rd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-4801
- Practice Country
- US
- Practice Phone
- (716) 294-5406
- Enumeration Date
- September 29, 2020
- Last Updated
- September 29, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 29, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)