Individual
LOIS LAFAYE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCNP
Contact information
Practice address
804 N PARKWAY, JACKSON, TN 38305-3058
(731) 426-3020
Mailing address
123 MALESUS HEIGHTS DR, JACKSON, TN 38301-7822
(731) 423-3020
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN0000067211
TN
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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