Jackie D Sprow, CRNP | |
1001 E 2nd St, Coudersport, PA 16915-8179 | |
(814) 274-5320 | |
Not Available |
Full Name | Jackie D Sprow |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1001 E 2nd St, Coudersport, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396202743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP019776 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Upmc Cole | Coudersport, PA | Hospital |
Penn Highlands Elk | Saint marys, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles Cole Memorial Hospital | 3779487475 | 56 |
Entity Name | Charles Cole Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326161662 PECOS PAC ID: 3779487475 Enrollment ID: O20040310001269 |
Mailing Address | Practice Location Address |
---|---|
Jackie D Sprow, CRNP 1001 E 2nd St, Coudersport, PA 16915-8179 Ph: (814) 274-9300 | Jackie D Sprow, CRNP 1001 E 2nd St, Coudersport, PA 16915-8179 Ph: (814) 274-5320 |
Victoria Copp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 | |
Ms. Amanda Marie Swanson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-5208 | |
Amanda Budd, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 |