Individual
JESSICA KRISTINA SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP, PMHNP-BC
Contact information
Practice address
104 CHARLES ELDRIDGE RD STE 6, LAKEVILLE, MA 02347-1388
(508) 886-3921
(508) 644-0599
Mailing address
359 RUSSELLS MILLS RD, SOUTH DARTMOUTH, MA 02748-1222
(508) 971-1802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2269941
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2269941
MA
Other
Enumeration date
11/06/2023
Last updated
05/21/2025
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