The American Journal for Nurse Practitioners

February 15, 2003

To Whom It May Concern:

We have worked with Karen Spencer of Karen Spencer Design for more than 20 years. We all started out in business at a medical publishing company and worked together and became friends. From that time, we have stayed in touch. When we began our own publishing company in the early 1990’s, we retained KSD to work on our journals, advertising and project business.

Put simply, Karen Spencer and her team are the best in the business. Everything that has been designed and executed by the KSD group is of highest quality at a very fair price and delivered in a timely manner. Karen Spencer is a person of high integrity, great talent and a true pleasure to know and do business with.

If you would like to speak to me, please call.


Louise K. Young
President / Group Publisher
NP Communications

109 South Main Street
Cranbury, NJ 08512