Provider Demographics
NPI:1376539973
Name:SPENCER, JOIE M (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JOIE
Middle Name:M
Last Name:SPENCER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 DILLONS FORK RD
Mailing Address - Street 2:
Mailing Address - City:FIELDALE
Mailing Address - State:VA
Mailing Address - Zip Code:24089-3121
Mailing Address - Country:US
Mailing Address - Phone:276-679-6500
Mailing Address - Fax:
Practice Address - Street 1:319 HOSPITAL DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1929
Practice Address - Country:US
Practice Address - Phone:276-666-8900
Practice Address - Fax:276-666-6624
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002068836164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse