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Johanna Spencer
Family Nurse Practitioner in Ord, Nebraska
NPI 1144605767

Johanna Spencer is a Family Nurse Practitioner based in Ord, NE and is specialized in Family. Johanna Spencer practices in Ord, NE. The NPI Number for Johanna Spencer is 1144605767 and holds a License No. 111832 (Nebraska).

The current practice location address for Johanna Spencer is 2707 L St, Ord, NE and can be reached out via phone at 308-728-4202 and via fax at 308-728-3500.

Location: 2707 L St, Ord, NE, 68862-1275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144605767
Provider Name
Johanna Spencer
Credential
Provider Entity Type
Individual
Gender
Female
Address
2707 L St, Ord, NE, 68862-1275
Phone Number
308-728-4202
Fax Number
308-728-3500
Provider Enumeration Date
07/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111832 01 NE STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2707 L St
City
Ord
State
Nebraska
Zip
68862-1275
Phone Number
308-728-4202
Fax Number
308-728-3500
person
Provider Business Mailing Address Details
Address
2707 L St
City
Ord
State
Nebraska
Zip
68862-1275
Phone Number
308-728-4202
Fax Number
308-728-3500
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
111832 (Nebraska)
Definition
Definition to come...
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