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WARREN BLAKE SPENCER
NPI 1912566118
Student in an Organized Health Care Education/Training Program in Booneville, MS

Active since June 11, 2019
203 N 2ND ST, BOONEVILLE, MS 38829(662) 728-4401 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Warren Blake Spencer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WARREN BLAKE SPENCER (NPI 1912566118) is an individual student in an organized health care education/training program in Booneville, Mississippi and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1912566118
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWARREN BLAKE SPENCER
Location Address203 N 2ND STBooneville, MS 38829-2701
Mailing Address106 N Fifth StBooneville, MS 38829-2608 · (662) 210-2863
Phone(662) 728-4401
Sole ProprietorYes
Enumeration DateJune 11, 2019
✔ NPI 1912566118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
203 N 2ND ST, Booneville, MS 38829
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Warren Spencer's NPI number?

The NPI number for Warren Spencer is 1912566118. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Warren Spencer located?

Warren Spencer practices at 203 N 2nd St, Booneville, MS 38829. The listed phone number is (662) 728-4401.

What is Warren Spencer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Warren Spencer was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.