JADE NICOLE SPENCER NP NPI 1306233234

NPI Information

  • NPI: 1306233234
  • Provider Name: JADE NICOLE SPENCER, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4215 3RD AVE
    2ND FLOOR
    BRONX, NY
    ZIP 10457
  • Phone: (718) 294-5891

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NPI Details

Jade Nicole Spencer, NP is a family nurse practitioner in Bronx, NY. Jade Nicole Spencer, NP NPI is 1306233234. 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:

4215 3RD AVE
2ND FLOOR
BRONX, NY
ZIP 10457-501
Phone: (718) 294-5891
Fax: (718) 294-2468

The enumeration date for this NPI number is 4/17/2015 and was last updated on 6/10/2015.

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
1363LF0000XNurse PractitionerFamilyF339320NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1331945MEDICARE OSCAR/CERTIFICATIONNEW YORK
2W6L111MEDICARE OSCAR/CERTIFICATIONNEW YORK
3331009MEDICARE OSCAR/CERTIFICATIONNEW YORK
4331944MEDICARE OSCAR/CERTIFICATIONNEW YORK
5G100000410MEDICARE OSCAR/CERTIFICATIONNEW YORK
6331058MEDICARE OSCAR/CERTIFICATIONNEW YORK
7331946MEDICARE OSCAR/CERTIFICATIONNEW YORK
8331954MEDICARE OSCAR/CERTIFICATIONNEW YORK
9331955MEDICARE OSCAR/CERTIFICATIONNEW YORK
10331947MEDICARE OSCAR/CERTIFICATIONNEW YORK
11331952MEDICARE OSCAR/CERTIFICATIONNEW YORK
12331978MEDICARE OSCAR/CERTIFICATIONNEW YORK
1300695941MEDICAIDNEW YORK
14331043MEDICARE OSCAR/CERTIFICATIONNEW YORK
15331943MEDICARE OSCAR/CERTIFICATIONNEW YORK

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: 11/21/2025

NPI Synchronization or Removal

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