Individual
ALEXA ROSE BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 W PARK DR, NORTH WILKESBORO, NC 28659-3563
(336) 839-9563
Mailing address
1916 W PARK DR, NORTH WILKESBORO, NC 28659-3563
(336) 839-9563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15374
NC
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
03/02/2026
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