Provider Demographics
NPI:1578766374
Name:CURREY, ALEXA NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:NICOLE
Last Name:CURREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALEXA
Other - Middle Name:NICOLE
Other - Last Name:IVANCIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:499 GLOSTER CREEK VLG
Mailing Address - Street 2:SUITE H-3
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-4600
Mailing Address - Country:US
Mailing Address - Phone:662-840-6026
Mailing Address - Fax:662-840-6030
Practice Address - Street 1:499 GLOSTER CREEK VLG
Practice Address - Street 2:SUITE H-3
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4600
Practice Address - Country:US
Practice Address - Phone:662-840-6026
Practice Address - Fax:662-840-6030
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20094208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04120729Medicaid