Individual
ALEXIS VIKKETTA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
902B ROANOKE AVE, ELIZABETH CITY, NC 27909-5565
(252) 368-8575
Mailing address
317 ORCHARD DR, ELIZABETH CITY, NC 27909-9324
(252) 455-2443
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018106
NC
363LF0000X
Family Nurse Practitioner
Primary
EDWA-MGI7Q
NC
Other
Enumeration date
05/15/2023
Last updated
03/11/2026
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