Individual provider · NPI-1

Kristen P Alexander, CPNP

Nurse Practitioner, Pediatrics · Fort Worth, TX

NPI number1316210669
StatusActive
Last updated in NPPESApr 21, 2021

Details

NPI
1316210669
Entity type
Individual (NPI-1)
Name
Kristen P Alexander
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 17, 2012
Certification date
Apr 21, 2021
Last updated
Apr 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics709202TXYes

Other names

  • Kristen P Douglas (Former Name)

Practice location

801 7th Ave
Fort Worth, TX 76104-2733

Phone 682-885-4054 · Fax 682-885-7497

Mailing address

Po Box 733784
Dallas, TX 75373-3784

Phone 682-885-1855 · Fax 682-885-1396

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