Alexis J Pilgrim, APRN
Nurse Practitioner, Family in Jonesboro, AR. Individual provider (NPI-1).
NPI number1316618309
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1316618309
- Entity type
- Individual (NPI-1)
- Name
- Alexis J Pilgrim
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2021
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 216452 | AR | Yes |
Other names
- Alexis J Tibbs (Former Name)
Practice location
4808 E Johnson AveJonesboro, AR 72405-8413
Phone 870-936-7000 · Fax 870-934-3677
Mailing address
Po Box 1960Jonesboro, AR 72403-1960
Phone 870-936-7000 · Fax 870-934-3677
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