Lisa Ellen Spencer
Nurse Practitioner - Gerontology
613 23rd St Ste 230
Ashland
, Kentucky 41101-2868
Lisa Ellen Spencer
Nurse Practitioner - Gerontology
613 23rd St Ste 230
Ashland
, Kentucky 41101-2868
(606) 408-6612
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Lisa Ellen Spencer
- Po Box 2379
- Ashland, KY
- Zip : 41105-2379
- Fax : (606) 408-6612
- Phone : (606) 408-6200
Second Address
- Lisa Ellen Spencer
- 613 23rd St Ste 230
- Ashland, KY
- Zip : 41101-2868
- Fax : (606) 324-4941
- Phone : (606) 324-4745
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 3009949 | KY |
National Provider Identifier
| NPI | 1003272204 |
|---|---|
| Provider Name | Lisa Ellen Spencer |
| First Address | Ashland, KY 41105-2379 |
| Second Address | Ashland, KY 41101-2868 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2016 |
| Last Update Date | 19/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.