Individual
MRS. ASHLEY A SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 483-5850
(904) 265-6409
Mailing address
86648 RIVERWOOD DR, YULEE, FL 32097-6446
(904) 563-4228
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN231039
GA
367500000X
Certified Registered Nurse Anesthetist
ARNP9262984
FL
367H00000X
Anesthesiologist Assistant
Primary
APRN9262984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004614200
—
FL
01
—
G00X2
BLUE SHIELD
FL
Enumeration date
02/13/2012
Last updated
07/08/2019
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