MRS. AMANDA MARIE SPENCE CPNP-PC NPI 1093147019

NPI Information

NPI: 1093147019
Provider Name: MRS. AMANDA MARIE SPENCE, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4266 SUNBEAM RD
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 463-4770
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MRS. Amanda Marie Spence, CPNP-PC is a pediatrics nurse practitioner in Jacksonville, FL. MRS. Amanda Marie Spence, CPNP-PC NPI is 1093147019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4266 SUNBEAM RD
JACKSONVILLE, FL
ZIP 32257-425
Phone: (904) 463-4770
Fax: (904) 202-8549

The NPI 1093147019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2013 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	COA14920-NP,RN344880	OHIO	No
2	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9404125	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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