Spence, Donna L

Spence, Donna L is an individual health care provider with primary practice located at 3121 Moseley Dr , Greenville NC 27858-4245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spence, Donna L can be contacted via phone (252) 758-4455.

Contact Information

Primary practice address
3121 Moseley Dr Greenville NC 27858-4245
Phone: (252) 758-4455
Fax: (252) 758-6742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200996 North Carolina

Profile Details

NPI number 1578569950
LBN Legal business name Spence, Donna L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578569950 NPPES
North Carolina MEDICAID 7000324

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