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Individual

JESSICA SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1565 GA HIGHWAY 23 S, WAYNESBORO, GA 30830-6911
(706) 836-2964
Mailing address
1565 GA HIGHWAY 23 S, WAYNESBORO, GA 30830-6911
(706) 836-2964

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
074278
GA

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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