Individual
DR. JEAN K ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 446-5121
(615) 446-1357
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD15804
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040015454
RAILROAD MEDICARE
—
01
—
3158419
BLUE CROSS BLUE SHIELD TN
TN
01
—
3158421
BLUE CROSS BLUE SHIELD TN
TN
05
—
3816880
—
TN
Enumeration date
05/23/2005
Last updated
02/02/2012
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