MEDICARE: SAVANNA SPENCE IBCLC

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	174N00000X	Lactation Consultant (Non-RN)	L-317209	AZ

General Provider Information

NPI Number	:	1558214882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNA SPENCE IBCLC

Provider Business Mailing Address
First Line	:	107 MISSISSIPPI LOOP
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-1129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 MISSISSIPPI LOOP
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-1129
Country	:	US
Telephone Number	:	701-330-4321
Fax Number	:

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	04/28/2026

Similar Medicare Providers

1831559996 — HOLLY J MALONEY NP
Practice Location Address:

1129 WESTERN BLVD
JACKSONVILLE, NC
28546-6652

Practice Phone: 910-939-5388
Practice Fax: 910-939-5532

1154448470 — MS. PATRICIA D SNOW LCSW
Practice Location Address:

1300 BRADEN ST
JACKSONVILLE, AR
72076-3719

Practice Phone: 501-453-6000
Practice Fax: 501-453-6950

1245954460 — UNITY HEALTH - JACKSONVILLE
Practice Location Address:

1400 BRADEN ST
JACKSONVILLE, AR
72076-3721

Practice Phone: 501-453-5002
Practice Fax:

1689679169 — PHYSICIANS NETWORK INC.
Practice Location Address:

1300 BRADEN ST
JACKSONVILLE, AR
72076-3719

Practice Phone: 501-985-5900
Practice Fax: 501-985-6016

1376549709 — JULIAN DALE CALHOON MD
Practice Location Address:

1300 BRADEN ST
JACKSONVILLE, AR
72076-3719

Practice Phone: 501-985-5900
Practice Fax: 501-985-6016

1477559680 — REX E LUTTRELL M.D.
Practice Location Address:

1300 BRADEN ST , POD B
JACKSONVILLE, AR
72076-3719

Practice Phone: 501-978-4343
Practice Fax: 501-975-8995

Directions to “ SAVANNA SPENCE IBCLC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.