Individual
JOAN M SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS
Contact information
Practice address
70 KENYON AVE, 326, WAKEFIELD, RI 02879-4239
(401) 788-1277
(401) 788-1514
Mailing address
70 KENYON AVE STE 326, WAKEFIELD, RI 02879-4239
(401) 788-1277
(401) 788-1514
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN00363
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PNS00027
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30908-4
BLUE CROSS OF RI
RI
01
—
413047
BLUE CHIP OF RI
RI
Enumeration date
03/08/2006
Last updated
09/19/2025
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