Individual
TERESA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 COLLEGE DRIVE, MERIDIAN, MS 39307-5429
(601) 581-7600
(601) 483-5543
Mailing address
3725 48TH CT, MERIDIAN, MS 39305-2530
(601) 482-1222
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R676144
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03028562
—
MS
Enumeration date
11/21/2007
Last updated
12/28/2016
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