Provider Demographics
NPI:1346516309
Name:WARD, ALEXIS LEE (WHNP)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LEE
Last Name:WARD
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7424 GREENVILLE AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4552
Mailing Address - Country:US
Mailing Address - Phone:214-363-2004
Mailing Address - Fax:214-378-7483
Practice Address - Street 1:7424 GREENVILLE AVE
Practice Address - Street 2:STE 206
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4552
Practice Address - Country:US
Practice Address - Phone:214-363-2004
Practice Address - Fax:214-378-7483
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX671161363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health