# ALICIA D FRASURE

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

## Provider details

- **NPI number:** 1750625539
- **Gender:** F
- **Credential:** FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 0024171150 | VA | — |
| 363LF0000X | Family Nurse Practitioner | 17018 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 17018 | TN | Yes |

## Other

- **Enumeration date:** 11/19/2012
- **Last updated:** 05/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0024171150 | FNP | VA |
| 05 | — | 1530700 | — | TN |
| 01 | — | APN17018 | TN LICENSE | TN |
| 01 | — | RN169173 | TN LICENSE | TN |