Individual
TERESA SPENCER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216-4643
(601) 981-9503
(601) 982-0148
Mailing address
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216-4643
(601) 981-9503
(601) 982-0148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R639036
MS
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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