Taylor, Alex Barraza

Taylor, Alex Barraza is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Taylor, Alex Barraza can be contacted via phone (601) 815-6960.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-6960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 901350 Mississippi

Profile Details

NPI number 1811360993
LBN Legal business name Taylor, Alex Barraza
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2015
Last updated Feb 4th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811360993 NPPES
Mississippi MEDICAID 09482518

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