Individual
TIFFANY NICOLE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
802 E MARTINTOWN RD STE 105, NORTH AUGUSTA, SC 29841-5312
(803) 508-4729
Mailing address
802 E MARTINTOWN RD STE 105, NORTH AUGUSTA, SC 29841-5312
(803) 509-4729
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
21547
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21547
SC
363LP2300X
Primary Care Nurse Practitioner
21547
SC
Other
Enumeration date
01/09/2018
Last updated
04/09/2026
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