Individual
ALICIA GAILE SPRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16615 HIGHWAY 104 N, SUITE B, LEXINGTON, TN 38351-5752
(731) 968-0660
(731) 968-0007
Mailing address
16615 HIGHWAY 104 N, SUITE B, LEXINGTON, TN 38351-5752
(731) 968-0660
(731) 968-0007
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
8026
TN
363LA2200X
Adult Health Nurse Practitioner
8026
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39094871
MEDICARE PART B PTAN
TN
05
—
39094871
—
TN
01
—
443970
MEDICARE PART A PTAN
TN
Enumeration date
02/01/2006
Last updated
08/12/2020
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