Individual
JODY FULTON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
136 RICHARD DR, GLENSHAW, PA 15116-1200
(724) 625-3171
Mailing address
PO BOX 848, PO BOX 848, MARS, PA 16046-0848
(724) 625-3171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010560
PA
Other
Enumeration date
10/14/2009
Last updated
11/04/2009
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