Individual
MS. ALEXIS ANN MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9401 HOLY CROSS LN STE 112, BREESE, IL 62230-3510
(618) 526-7271
(618) 526-7313
Mailing address
9401 HOLY CROSS LN STE 112, BREESE, IL 62230-3510
(618) 526-7271
(618) 526-7313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209012323
IL
363LP0200X
Pediatric Nurse Practitioner
2018043672
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
209012323
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420064410
—
MO
Enumeration date
10/30/2014
Last updated
05/16/2025
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