Provider Demographics
NPI:1033972666
Name:SPENCE, SARAH MADISON (DNP, APRN, FNP-CNP)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MADISON
Last Name:SPENCE
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 E DUNBAR LN APT 1-126
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-3164
Mailing Address - Country:US
Mailing Address - Phone:903-278-3219
Mailing Address - Fax:
Practice Address - Street 1:451 PHILLIPS ST
Practice Address - Street 2:
Practice Address - City:WEST FORK
Practice Address - State:AR
Practice Address - Zip Code:72774-2813
Practice Address - Country:US
Practice Address - Phone:479-294-6085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR226671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily