Provider Demographics
NPI:1558847806
Name:SPENCE, JUDY MARIA (APN-FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:MARIA
Last Name:SPENCE
Suffix:
Gender:F
Credentials:APN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13707 WOODSPIRE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-1321
Mailing Address - Country:US
Mailing Address - Phone:281-248-3111
Mailing Address - Fax:
Practice Address - Street 1:13707 WOODSPIRE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-1321
Practice Address - Country:US
Practice Address - Phone:281-248-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily