Individual
JAMIE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1319
(304) 400-4545
Mailing address
33 WALKER RD, SOUTH CHARLESTON, WV 25309-9237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN56052
WV
Other
Enumeration date
07/26/2013
Last updated
03/08/2018
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