Madison Alexander
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mayflower, AR
NPI 1003628397 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1003628397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 162 Brandon Dr
Mayflower, AR 72106-9677 - Phone
- (501) 316-8264
- NPI assigned
- Jan 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
162 Brandon Dr
Mayflower, AR 72106-9677
Mailing address
162 Brandon Dr
Mayflower, AR 72106-9677
Other providers in Mayflower, AR
All providers in Mayflower, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.