Individual
MRS. JOSA RAE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
806 JASON CV, BRANDON, MS 39047-6290
(601) 870-8455
Mailing address
806 JASON CV, BRANDON, MS 39047-6290
(601) 870-8455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903076
MS
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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