Individual
MRS. JESSICA RACHEL ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT-P, PA-C
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(819) 702-8795
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(819) 702-8795
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
55713
TX
363A00000X
Physician Assistant
Primary
PA06882
TX
376K00000X
Nurse's Aide
NA00188304
TX
Other
Enumeration date
06/09/2010
Last updated
09/17/2012
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