Individual
MRS. REGAN DOLEAC SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
350 WEST WOODROW WILSON, JACKSON, MS 39213
(601) 815-0115
(601) 984-5257
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 815-0115
(601) 984-5257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R865925
MS
Other
Enumeration date
01/18/2012
Last updated
07/07/2015
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