Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie D Sprow, CRNP

Individual provider Family Nurse Practitioner · NPI 1396202743

Jackie D Sprow, CRNP is a Nurse Practitioner in Coudersport, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Charles Cole Memorial Hospital, a 68-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1001 E 2nd St
Coudersport, PA 16915-8179
Phone: (814) 274-5320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP019776 (PA)

Record details

NPI number1396202743
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 21, 2019
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address1001 E 2nd St, Coudersport, PA 16915-8179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Charles Cole Memorial Hospital — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coudersport