Individual
ALEXANDRIA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3890 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5803
(228) 818-5521
(228) 872-2225
Mailing address
1720 MEDICAL PARK DR, BILOXI, MS 39532-2131
(228) 392-7429
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
877478
MS
Other
Enumeration date
03/24/2015
Last updated
05/13/2019
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