Individual
ALEXA DYAN PAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7710
(904) 407-8131
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7710
(904) 407-8131
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11001593
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11001593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104929600
—
FL
Enumeration date
04/26/2019
Last updated
05/30/2025
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