Individual
AUDREY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
96 OLD HIGHWAY 80 E, MORTON, MS 39117-9771
(731) 394-1145
Mailing address
178 BUFKINS RD, WALNUT GROVE, MS 39189-6001
(601) 826-2948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906399
MS
Other
Enumeration date
06/04/2024
Last updated
09/24/2024
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