Spence, Autumn

Spence, Autumn is an sole proprietor health care provider with primary practice located at 6031 Joust Ln , Alexandria VA 22315-4811. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Spence, Autumn can be contacted via phone (718) 864-8759.

Contact Information

Primary practice address
6031 Joust Ln Alexandria VA 22315-4811
Phone: (718) 864-8759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024171354 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306540 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN1032692 District of Columbia

Profile Details

NPI number 1568883932
LBN Legal business name Spence, Autumn
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2014
Last updated Jan 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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