Individual provider · NPI-1

Mary Kristine Alegre, FNP

Nurse Practitioner, Family · Evans, GA

NPI number1003683095
StatusActive
Last updated in NPPESMar 26, 2025

Details

NPI
1003683095
Entity type
Individual (NPI-1)
Name
Mary Kristine Alegre
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 8, 2023
Certification date
Mar 26, 2025
Last updated
Mar 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyNP002505GAYes
363LF0000X Nurse Practitioner, Family353196NY

Practice location

4244 Washington Rd
Evans, GA 30809-3087

Phone 706-760-7607

Mailing address

4244 Washington Rd
Evans, GA 30809-3087

Phone 706-760-7607

Other practice locations

1825 Eastchester Rd
Bronx, NY 10461-2301

Phone 718-904-2000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Evans, GA