JEREMY SPENCER RN NPI 1174998371

NPI Information

NPI: 1174998371
Provider Name: JEREMY SPENCER, RN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
1332 PROSPECT AVE
CARO, MI
ZIP 48723
Phone: (989) 673-6191
Get Directions

Jeremy Spencer, RN is an obstetrics and gynecology nurse practitioner in Caro, MI with 2 years of experience. Jeremy Spencer, RN NPI is 1174998371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1332 PROSPECT AVE
CARO, MI
ZIP 48723-288
Phone: (989) 673-6191

The NPI 1174998371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2015 and was last updated on 2/24/2023.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	4704286855	MICHIGAN	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	4704286855	MICHIGAN	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: 4/28/2024

NPI Synchronization or Removal

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