Spicer, Jennifer Lou

Spicer, Jennifer Lou is an individual health care provider with primary practice located at 14200 W Celebrate Life Way , Goodyear AZ 85338-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Spicer, Jennifer Lou can be contacted via phone (623) 207-3914.

Contact Information

Primary practice address
14200 W Celebrate Life Way Goodyear AZ 85338-3007
Phone: (623) 207-3914
Fax: (623) 207-3799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2873 Arizona

Profile Details

NPI number 1386648632
LBN Legal business name Spicer, Jennifer Lou
Credentials DMSC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 5th, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386648632 NPPES
Arizona MEDICAID 807985

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