Provider Demographics
NPI:1700382363
Name:ALEXANDER, JAMIE DANIELLE (DO)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:DANIELLE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:DANIELLE
Other - Last Name:AVANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1150 SOUTH COLONY WAY STE 3-665
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645
Mailing Address - Country:US
Mailing Address - Phone:850-293-8388
Mailing Address - Fax:
Practice Address - Street 1:MAT-SU REGIONAL MEDICAL CENTER
Practice Address - Street 2:2500 S. WOODWORTH LOOP
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645
Practice Address - Country:US
Practice Address - Phone:907-861-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2099682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry