Carrie Goodrum Alexander, FNP-C
Nurse Practitioner, Family in Lincoln, IL. Individual provider (NPI-1).
NPI number1760972715
StatusActive
Last updated in NPPESMay 15, 2018
Details
- NPI
- 1760972715
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carrie Goodrum Alexander
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2018
- Last updated
- May 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209017097 | IL | Yes |
Practice location
1096 1350th StLincoln, IL 62656-5094
Phone 217-735-5581
Mailing address
1096 1350th StLincoln, IL 62656-5094
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