Provider Demographics
NPI:1639623283
Name:ALEXANDER, JANAINA
Entity Type:Individual
Prefix:MRS
First Name:JANAINA
Middle Name:
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 1:104 HENRY DR
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403-2023
Mailing Address - Country:US
Mailing Address - Phone:859-302-1148
Mailing Address - Fax:
Practice Address - Street 1:104 HENRY DR
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-2023
Practice Address - Country:US
Practice Address - Phone:859-302-1148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY500256251E00000X
KY199479251E00000X
KY3497251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health