Individual
ALEXIS JADE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
271 FORT RICHARDSON AVE, SAN ANGELO, TX 76908-4901
(325) 654-4390
Mailing address
271 FORT RICHARDSON AVE, SAN ANGELO, TX 76908-4901
(325) 654-4390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
851811
NV
Other
Enumeration date
05/24/2024
Last updated
12/17/2025
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