Individual
MRS. ALEXIS CROSS-MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
559 HIGHWAY 1 N STE A, GREENVILLE, MS 38701-3136
(662) 702-5159
(662) 702-5164
Mailing address
1997 MEDICAL PARK DR, GREENVILLE, MS 38703-7268
(662) 335-4105
(662) 378-2879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901361
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006233378
—
MS
Enumeration date
11/12/2015
Last updated
02/02/2024
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