Mary Jo L Spencer

CPNP | Nurse Practitioner - Pediatrics

516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis
  Minnesota, 55455-0356
612-884-0936
May or may not accept Medicare Nurse Anesthetist in Minneapolis, Minnesota.
Mary Jo L Spencer is a Minneapolis, Minnesota based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mary Jo L Spencer is R 086024-0 for Pediatrics in Minnesota. Her current practice location is 516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis. Patients can reach her at 612-884-0936. Mary Jo L Spencer is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1881794659.
Mary Jo L Spencer specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mary Jo L Spencer speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mary Jo L Spencer
Specialization: Pediatrics Nurse Practitioner (PNP)
Gender:Female
Credentials: CPNP
Practice Address:516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis,
Minnesota, 55455-0356
Phone:612-884-0936
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1881794659
NPI Enumeration Date: 22 Sep, 2006
NPI Last Update On: 08 Jul, 2007

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Jo L Spencer are as mentioned below.
License NumberSpecializationStateStatus
R 086024-0Pediatrics MinnesotaPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Jo L Spencer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
12-13453OtherMinnesotaMEDICA CHOICE
HP20941OtherMinnesotaHEALTH PARTNERS
05G59SPOtherMinnesotaBLUE CROSS BLUE SHIELD
768359OtherMinnesotaARAZ
107868OtherMinnesotaUCARE
12-13453OtherMinnesotaMEDICA PRIMARY
4300179MedicaidMontana
131017800MedicaidMinnesota
1015967OtherMinnesotaPREFERRED ONE
157941OtherMinnesotaFAIRVIEW
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mary Jo L Spencer
420 Delaware Street Se, University Of Minnesota Physicians
Minneapolis, Minnesota
Zip: 55455
Phone Number: 612-884-0936
Patients can reach Mary Jo L Spencer at 516 Delaware St Se, Pwb Fourth Floor, Room 4-100, Minneapolis, Minnesota or can call to book an appointment on 612-884-0936.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.