# ALICE JEAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255995155
- **Gender:** F
- **Credential:** MD, MPH, DIPABLM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 41283 | OK | Yes |
| 207Q00000X | Family Medicine Physician | A182562 | CA | — |
| 207Q00000X | Family Medicine Physician | TLL-2022-003 | GU | — |
| 207Q00000X | Family Medicine Physician | V1799 | TX | — |

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 06/12/2024