Individual provider · Type 1 NPI

Ivana Spencer

Psychiatric/Mental Health Nurse Practitioner · Richmond, VA

NPI number 1063204469 Active

Practice location

1601 Willow Lawn Dr Ste 304, The Shops At Willow Lawn #1283
Richmond, VA 23230-3423

Fax (804) 964-9870

Mailing address

1601 Willow Lawn Dr, Ste. 304, The Shops At Willow Lawn #1283
Richmond, VA 23230-3427

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024194447 (VA)
Registered Nurse 163W00000X0001284498 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063204469

Ivana Spencer's National Provider Identifier is 1063204469, issued on May 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Richmond, VA. The record was last updated on Dec 4, 2025.