# ALISA JOCELYN ALEXANDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215207253
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 7468 | AK | Yes |

## Other

- **Enumeration date:** 01/09/2012
- **Last updated:** 12/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1579583 | — | AK |
| 01 | — | MEDS7468 | ALASKA STATE LICENSE | AK |