Individual
ALEXANDRA CLAIRE BANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4364 HIGHWAY 51 S, SENATOBIA, MS 38668-2534
(662) 560-5966
(662) 560-5969
Mailing address
3697 KENTON DR, SOUTHAVEN, MS 38672-7224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23022
TN
363LF0000X
Family Nurse Practitioner
Primary
902270
MS
Other
Enumeration date
08/23/2017
Last updated
11/30/2017
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