MEDICARE: MRS. JENNIFER A SPENCER FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9193779	FL
2	363LF0000X	Family Nurse Practitioner	1-163770	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750518270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER A SPENCER FNP-BC

Provider Business Mailing Address
First Line	:	21298 COTTON CREEK DR
Second Line	:
City	:	GULF SHORES
State	:	AL
Zip	:	36542-9129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21298 COTTON CREEK DR
Second Line	:
City	:	GULF SHORES
State	:	AL
Zip	:	36542-9129
Country	:	US
Telephone Number	:	251-306-0378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	02/09/2026

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