Alexandria Adams Ballew, APRN
Individual provider Active NPI Nurse Practitioner · Pace, FL
NPI 1689313355 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1689313355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN11019643 (FL)
- Practice address
- 3637 Highway 90
Pace, FL 32571-1075 - Phone
- (850) 966-9099
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11019643 | FL | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11019643 | FL | Yes |
Addresses
Primary practice location
3637 Highway 90
Pace, FL 32571-1075
Mailing address
11140 Booner Cir
Pensacola, FL 32526-4469
Phone (251) 363-5635
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. 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.