Individual
SHANNA KENEISHA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10030 GILEAD RD, HUNTERSVILLE, NC 28078-7545
(704) 316-3789
(704) 316-6785
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3789
(704) 316-6785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010289
NC
Other
Enumeration date
02/13/2018
Last updated
08/19/2024
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