Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivana Spencer

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063204469

Ivana Spencer is a Nurse Practitioner in Richmond, Virginia. Qualified in 2025, 1 year ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1601 Willow Lawn Dr Ste 304 The Shops AT Willow Lawn #1283
Richmond, VA 23230-3423
Phone: (804) 825-2308
Fax: (804) 964-9870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024194447 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001284498 (VA)

Record details

NPI number1063204469
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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