Alexandra Laine Anderson
Student in an Organized Health Care Education/Training Program in Jackson, TN. Individual provider (NPI-1).
NPI number1992331490
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1992331490
- Entity type
- Individual (NPI-1)
- Name
- Ms. Alexandra Laine Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2020
- Certification date
- May 23, 2022
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1050 Union University DrJackson, TN 38305-3656
Phone 731-668-1818
Mailing address
499 Denham CvCollierville, TN 38017-2431
Phone 901-412-0357
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