Individual provider · Type 1 NPI

Jacquelyn Anne Spencer, N.P.

Nurse Practitioner · Syracuse, NY

NPI number 1164614962 Active

Practice location

1304 Buckley Road, Suite 200
Syracuse, NY 13212-4311

Fax (315) 476-5211

Mailing address

1304 Buckley Rd, Suite 200
Syracuse, NY 13212-4311

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XF3031681 (NY)
Nurse Practitioner Primary 363L00000X3031681 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164614962

Jacquelyn Anne Spencer, N.P.'s National Provider Identifier is 1164614962, issued on Aug 15, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 23, 2015.