Provider Demographics
NPI:1639187370
Name:SPENCE, JULIA L (PA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:L
Last Name:SPENCE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1196 ACKISON ST
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:KY
Mailing Address - Zip Code:41169-1923
Mailing Address - Country:US
Mailing Address - Phone:606-571-3738
Mailing Address - Fax:
Practice Address - Street 1:1540 SPRING VALLEY DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-9300
Practice Address - Country:US
Practice Address - Phone:304-429-6755
Practice Address - Fax:304-429-0296
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant