Alexander, Amie L
Alexander, Amie L is an individual health care provider with primary practice located at 15190 Community Rd Ste 230 , Gulfport MS 39503-3483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alexander, Amie L can be contacted via phone (228) 575-7104.Contact Information
Primary practice address
15190 Community Rd Ste 230
Gulfport MS 39503-3483
Phone: (228) 575-7104
Fax: (228) 539-6766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R872161 | Mississippi |
Profile Details
| NPI number | 1104198266 |
|---|---|
| LBN Legal business name | Alexander, Amie L |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2012 |
| Last updated | Apr 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104198266 | NPPES |
| Mississippi | MEDICAID | 09136733 |
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