Individual
JANE D. SPENCER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3366 OAKDALE AVE N, #501, ROBBINSDALE, MN 55422-2948
(763) 588-0758
(763) 588-8505
Mailing address
3366 OAKDALE AVE N, #501, ROBBINSDALE, MN 55422-2948
(763) 588-0758
(763) 588-8505
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 065105-1
MN
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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