Individual
JESSICA J SPAYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
16425 BROOKS LOOP, EAGLE RIVER, AK 99577-8027
(907) 622-4673
(907) 622-4672
Mailing address
16425 BROOKS LOOP, EAGLE RIVER, AK 99577-8027
(907) 622-4673
(907) 622-4672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ANP677
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295849446
NPI
—
05
—
NP9295
—
AK
Enumeration date
05/03/2006
Last updated
06/12/2014
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