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
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 Number | Specialization | State | Status | |
| R 086024-0 | Pediatrics | Minnesota | Primary | |
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.
| Identifier | Type | State | Issuer |
| 12-13453 | Other | Minnesota | MEDICA CHOICE |
| HP20941 | Other | Minnesota | HEALTH PARTNERS |
| 05G59SP | Other | Minnesota | BLUE CROSS BLUE SHIELD |
| 768359 | Other | Minnesota | ARAZ |
| 107868 | Other | Minnesota | UCARE |
| 12-13453 | Other | Minnesota | MEDICA PRIMARY |
| 4300179 | Medicaid | Montana | |
| 131017800 | Medicaid | Minnesota | |
| 1015967 | Other | Minnesota | PREFERRED ONE |
| 157941 | Other | Minnesota | FAIRVIEW |
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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.