Provider Demographics
NPI:1437335981
Name:ALEXANDER, TONYA LETISHA
Entity Type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:LETISHA
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8814 OXFORDSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-4319
Mailing Address - Country:US
Mailing Address - Phone:904-576-0950
Mailing Address - Fax:
Practice Address - Street 1:8814 OXFORDSHIRE AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-4319
Practice Address - Country:US
Practice Address - Phone:904-576-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator