Betty Jo Alexander in Picayune - Pediatrics
Betty Jo Alexander - NPI 1790828580
Betty Jo Alexander is a Pediatrics in Picayune, Mississippi. Betty Jo Alexander practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Betty Jo Alexander is 1790828580. The last update date is 2023-06-20.
Betty Jo Alexander's current location address is 517 Fifth Ave, Picayune, Mississippi. You can contact this provider via phone number 6015901045 and fax number 6017982052. The mailing address for Betty Jo Alexander is 517 Fifth Ave, Picayune, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betty Jo Alexander |
|---|---|
| Address | 517 Fifth Ave, Picayune, Mississippi |
| Phone Number | 6015901045 |
| Fax Number | 6017982052 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1790828580 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2023-06-20 |
Provider Mailing Address Detail
| Address | 517 Fifth Ave |
|---|---|
| City | Picayune |
| State | Mississippi (MS) |
| Post Code | 394663203 |
| Phone Number | 6015901045 |
| Fax Number | 6017982052 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R687693 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126950 | MS | -- | |
| 1808531 | MS | -- | |
| R687693 | MS | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Betty Jo Alexander by the Centers for Medicare & Medicaid Services (CMS)?
The Betty Jo Alexander has been assigned the NPI (National Provider Identifier) 1790828580. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Betty Jo Alexander's facilities are situated?
The facilities of Betty Jo Alexander are physically located at the following address: 517 Fifth Ave, Picayune, MS, 394663203.
What is Betty Jo Alexander's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Betty Jo Alexander's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Betty Jo Alexander receive its 1790828580 assignment from the Centers for Medicare & Medicaid Services?
The Betty Jo Alexander was assigned its 1790828580 by the Centers for Medicare & Medicaid Services on 2007-02-14.
As of what date were the details pertaining to Betty Jo Alexander last refreshed?
The information related to the Betty Jo Alexander, including its address, specialty, and other relevant details, was last updated on 2023-06-20.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN