Individual
ALEXA JOELLE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-3399
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-3399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-189717
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-189717
AL
Other
Enumeration date
01/16/2024
Last updated
11/07/2025
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