Jackie D Sprow, CRNP
NPI #1396202743 in Coudersport, Pennsylvania
Provider Information
- NPI Number
- 1396202743
- Entity Type
- Individual
- Name
- Jackie D Sprow, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Feb 21, 2019
- Last Updated
- Apr 2, 2021
Practice Location
- Address
- 1001 E 2ND ST
- City
- Coudersport
- State
- Pennsylvania
- ZIP Code
- 16915-8179
- Phone
- (814) 274-5320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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