Provider Demographics
NPI:1578963104
Name:MUSICK, ALEXANDRIA POTEAT (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:POTEAT
Last Name:MUSICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:POTEAT
Other - Last Name:MUSICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5959 LONG PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2224
Mailing Address - Country:US
Mailing Address - Phone:972-874-6700
Mailing Address - Fax:
Practice Address - Street 1:5959 LONG PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2224
Practice Address - Country:US
Practice Address - Phone:972-874-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125488363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner