Active NPI
Lois Lafaye Spence, RNCNP
- Obstetrics & Gynecology Nurse Practitioner
- Jackson, TN
National Provider Identifier
1982724068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN0000067211
- Practice address
- 804 N Parkway
Jackson, TN 38305-3058 - Phone
- (731) 426-3020
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN0000067211 | TN | Primary |
Addresses
Primary practice location
804 N Parkway
Jackson, TN 38305-3058
Mailing address
123 Malesus Heights Dr
Jackson, TN 38301-7822
Phone (731) 423-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000067211 | TN | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982724068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MALESUS HEIGHTS DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383017822",
"telephone_number": "731-423-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 N PARKWAY",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053058",
"telephone_number": "731-426-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "LOIS",
"middle_name": "LAFAYE",
"credential": "RNCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "TN",
"license": "RN0000067211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.