Provider Demographics
NPI:1477167500
Name:NESS, ALYSA ALEXANDRIA (PHARM D)
Entity Type:Individual
Prefix:
First Name:ALYSA
Middle Name:ALEXANDRIA
Last Name:NESS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WOODYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4445
Mailing Address - Country:US
Mailing Address - Phone:909-549-7749
Mailing Address - Fax:
Practice Address - Street 1:105 WOODYSIDE DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-4445
Practice Address - Country:US
Practice Address - Phone:909-549-7749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-05
Last Update Date:2020-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist