NICOLE SPENCER NPI 1639626153

NPI Information

  • NPI: 1639626153
  • Provider Name: NICOLE SPENCER
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4551 NEW BERN AVE STE 100
    RALEIGH, NC
    ZIP 27610
  • Phone: (984) 215-4950

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NPI Details

Nicole Spencer is a primary care nurse practitioner in Raleigh, NC. Nicole Spencer NPI is 1639626153. 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:

4551 NEW BERN AVE STE 100
RALEIGH, NC
ZIP 27610-797
Phone: (984) 215-4950
Fax: (984) 215-4955

The NPI 1639626153 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 9/1/2016 and was last updated on 8/10/2021.

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
1363LP2300XNurse PractitionerPrimary Care238951NORTH CAROLINAYes
2163WM0705XRegistered NurseMedical-Surgical238951NORTH CAROLINANo

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

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