Spencer, Jessica

Spencer, Jessica is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Spencer, Jessica can be contacted via phone (417) 875-3761.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-5155
Phone: (417) 875-3761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1467843557
LBN Legal business name Spencer, Jessica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Dec 27th, 2018 - about 8 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 1467843557 NPPES
Missouri MEDICAID 1467843557
Missouri MEDICAID 220025599

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