| Doctor Name: | STEPHANIE M SPENCE |
| NPI Number: | 1154580900 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | APN12808 |
| Business Practice Address: | 5003 Crossing Circle Suite 200 Mt Juliet, TN - 37122 |
| Business Phone Number: | 6157734128 |
| Business Fax Number: | 6157734148 |
| Mailing Address: | 310 25th Ave N, Suite 201 NASHVILLE |
| State: | TN |
| Postal Code: | 372031515 |
| Phone Number: | 6156205154 |
| Fax Number: | 6153215205 |
| NPI Enumeration Date: | 06/06/2008 |
| NPI Last Update Date: | 11/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | APN12808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |