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Individual

MRS. ALEXIS JADE ALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
245 NORTH ST, BRISTOL, VA 24201
(276) 669-4711
Mailing address
3414 SILK MILL PL, KINGSPORT, TN 37660-2902
(276) 690-4379

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32145
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
32145
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
32145
VA

Other

Enumeration date
09/09/2022
Last updated
02/22/2025
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