Derriel Alexander
Registered Nurse, Neuroscience in Jackson, MS. Individual provider (NPI-1).
NPI number1134718554
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1134718554
- Entity type
- Individual (NPI-1)
- Name
- Derriel Alexander
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2021
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WN0800X | Registered Nurse, Neuroscience | 900816 | MS | Yes |
Practice location
3361 Fleetwood DrJackson, MS 39212-3965
Phone 601-826-3008
Mailing address
3361 Fleetwood DrJackson, MS 39212-3965
Phone 601-826-3008
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