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Individual

SUSAN ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 421-6754
Mailing address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 421-6754

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
116434
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
626001445
TN
Enumeration date
07/13/2016
Last updated
07/13/2016
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