Individual
KRISTIN COX SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9111
Mailing address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21012
TN
363LF0000X
Family Nurse Practitioner
901471
MS
Other
Enumeration date
03/07/2016
Last updated
04/05/2022
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