Individual provider · NPI-1

Dr. Nicholas Jake Alexander, MD

Pediatrics, Developmental - Behavioral Pediatrics · Seattle, WA

NPI number1669969713
StatusActive
Last updated in NPPESJul 22, 2024

Details

NPI
1669969713
Entity type
Individual (NPI-1)
Name
Dr. Nicholas Jake Alexander
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2018
Certification date
Jul 22, 2024
Last updated
Jul 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics61142177WAYes
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • Jake Alexander (Professional Name)

Practice location

4800 Sand Point Way Ne
Seattle, WA 98105-3901

Phone 206-987-2210

Mailing address

Po Box 5371
Seattle, WA 98145-5005

Phone 206-987-2210

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