Provider Demographics
NPI:1346997590
Name:SPIVEY, JAMI LYN
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:LYN
Last Name:SPIVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4908 HILRE DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-3931
Mailing Address - Country:US
Mailing Address - Phone:903-819-4920
Mailing Address - Fax:
Practice Address - Street 1:2806 TRAIL DR STE 107
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-7299
Practice Address - Country:US
Practice Address - Phone:903-819-4920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies