Individual
ALEXIS KYLIE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 STONECREST BLVD, SMYRNA, TN 37167-6810
(844) 673-6968
Mailing address
PO BOX 2127, SMYRNA, TN 37167-1711
(844) 673-6968
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
324757
LA
363A00000X
Physician Assistant
Primary
4664
TN
Other
Enumeration date
11/02/2020
Last updated
10/20/2023
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