Alexandra Laine Anderson
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Jackson, TN
NPI 1992331490 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1992331490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1050 Union University Dr
Jackson, TN 38305-3656 - Phone
- (731) 668-1818
- NPI assigned
- Mar 16, 2020
- 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
1050 Union University Dr
Jackson, TN 38305-3656
Mailing address
499 Denham CV
Collierville, TN 38017-2431
Phone (901) 412-0357
Other providers in Jackson, TN
- Kyle Amawi
- Amen Clinic PC
- Ampharm, Inc.
- Anchors in Bloom Counseling LLC
- Anderson Brace & Limb PLLC
- Anahita Anderson
- Brittany Zinelle Anderson
- Charles B Anderson
- Cynthia G Anderson
- Edward J Anderson
All providers in Jackson, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 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.