Jean K Alexander, MD
Individual provider Active NPI Allergy & Immunology Physician · Dickson, TN
NPI 1790788982 · NPPES record last updated Feb 2, 2012
Key facts
- NPI
- 1790788982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- MD15804 (TN)
- Practice address
- 127 Crestview Park Dr
Dickson, TN 37055-2850 - Phone
- (615) 446-5121
- Fax
- (615) 446-1357
- NPI assigned
- May 23, 2005
- 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)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15804 | TN | MD | Allergy & Immunology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD15804 | TN | Yes |
Addresses
Primary practice location
127 Crestview Park Dr
Dickson, TN 37055-2850
Mailing address
127 Crestview Park Dr
Dickson, TN 37055-2850
Phone (615) 446-5121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040015454 | Other | RAILROAD MEDICARE | |
| 3816880 | Medicaid | TN | |
| 3158419 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 3158421 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Other providers in Dickson, TN
- Advanced Foot & Ankle Care Centers, PC
- Advanced Medical Consultants Two L.L.C.
- Agilitas USA, Inc
- Bobby Patrick Aguayo
- Alana Healthcare Pharmacy
- Jacob Walker Alhashimi
- Allegiant Health PLLC
- Brandon D. Allen
- Sherry Lee Allen
- Stephen Grant Allen
All providers in Dickson, TN · Allergy & Immunology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2012. 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.