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General NPI Number Information
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NPI Number | 1215863204
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Entity Type | Individual
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Provider Name | JORRI LEE SPARKS MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 1250 E 3900 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-1348
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Country | US
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Telephone | 801-869-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 E 3900 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-1348
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Country | US
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Telephone | 801-869-4100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9789725-4405
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License Number State | UT
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