Provider Demographics
NPI:1649015124
Name:DONNA L SPENCE FNP-BC PLLC
Entity type:Organization
Organization Name:DONNA L SPENCE FNP-BC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:252-531-3854
Mailing Address - Street 1:4415 PARKER CT
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27828-8528
Mailing Address - Country:US
Mailing Address - Phone:252-531-3854
Mailing Address - Fax:
Practice Address - Street 1:5121 MARTIN LUTHER KING JR HWY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8613
Practice Address - Country:US
Practice Address - Phone:252-752-2111
Practice Address - Fax:252-830-8473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty