Individual
JACQUELYN J MEYER-SPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3800 56TH AVE S, FARGO, ND 58104-6706
(800) 237-4629
Mailing address
3800 56TH AVE S, FARGO, ND 58104-6706
(800) 237-4629
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13625
MN
363L00000X
Nurse Practitioner
Primary
203776
ND
363L00000X
Nurse Practitioner
AP1654
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034961
—
AZ
01
—
CG7880
MEDICARE RAILROAD
AZ
Enumeration date
08/10/2005
Last updated
12/16/2025
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