Individual
MR. JERVIS L SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 GRASSMERE PARK STE 116, NASHVILLE, TN 37211-3678
(615) 864-3327
Mailing address
5610 OLD HICKORY BLVD APT D7, HERMITAGE, TN 37076-2530
(901) 502-0368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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