Provider Demographics
NPI:1598389215
Name:JEWELL, ALEXANDRA K (PA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:K
Last Name:JEWELL
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3095 OLD CONEJO RD STE 200
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-2130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3095 OLD CONEJO RD STE 200
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91320-2130
Practice Address - Country:US
Practice Address - Phone:816-781-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2022-10-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant