Individual
ALEXIS MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
130 STONEHAVEN DR, PELHAM, AL 35124-3908
(205) 835-2288
Mailing address
130 STONEHAVEN DR, PELHAM, AL 35124-3908
(205) 835-2288
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
AL
363LF0000X
Family Nurse Practitioner
Primary
1-131072
AL
363LF0000X
Family Nurse Practitioner
NP002015
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-131072
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP002015
GA
Other
Enumeration date
06/27/2017
Last updated
06/27/2025
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