Individual
JENNIFER SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 SHIRLEY AVENUE, DOUGLAS, GA 31533
(912) 384-0322
(912) 260-1086
Mailing address
326 SHIRLEY AVE, DOUGLAS, GA 31533-2332
(912) 384-0322
(912) 260-1086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN138202
GA
Other
Enumeration date
02/18/2015
Last updated
05/04/2017
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