Individual
ALEXIA L TICKNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6217
(913) 684-6612
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6000
(913) 684-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-75741-041
KS
Other
Enumeration date
08/28/2012
Last updated
02/23/2023
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