| Mrs Jennifer A Spencer, FNP-BC | |
|
21298 Cotton Creek Dr, Gulf Shores, AL 36542-9129 | |
| (251) 306-0378 | |
| Not Available |
| Full Name | Mrs Jennifer A Spencer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 21298 Cotton Creek Dr, Gulf Shores, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750518270 | NPI | - | NPPES |
| 001725400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9193779 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-163770 (Alabama) | Primary |
| Entity Name | Southern Immediate Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467909978 PECOS PAC ID: 6103114087 Enrollment ID: O20161010000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer A Spencer, FNP-BC 21298 Cotton Creek Dr, Gulf Shores, AL 36542-9129 Ph: () - | Mrs Jennifer A Spencer, FNP-BC 21298 Cotton Creek Dr, Gulf Shores, AL 36542-9129 Ph: (251) 306-0378 |
Clarissa Jordan Annan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 156 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-948-4290 Fax: 251-948-7682 | |
Erin Dewrell Prendergast, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W 2nd St, Gulf Shores, AL 36542 Phone: 251-967-4000 Fax: 251-967-2398 | |
Courtney Millenbine, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-962-1250 Fax: 251-967-7832 | |
Mr. Jerry Wayne Barton Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-962-1250 Fax: 251-967-7832 | |
Lisa Ellen Field, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Office Park Dr, Gulf Shores, AL 36542 Phone: 251-968-7379 Fax: 251-968-5960 | |
Bailey Maree Boyd, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 Dawson Dr, Gulf Shores, AL 36542 Phone: 618-704-1309 | |
Anthony Houston Key, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 E 15th Ave, Gulf Shores, AL 36542 Phone: 251-962-1250 Fax: 251-967-7832 |