Provider Demographics
NPI:1851801997
Name:TAYLOR, ALEXANDRA KING (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:KING
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 JACKSON ST APT 406
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1140
Mailing Address - Country:US
Mailing Address - Phone:402-913-7040
Mailing Address - Fax:
Practice Address - Street 1:7100 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2714
Practice Address - Country:US
Practice Address - Phone:402-506-9416
Practice Address - Fax:402-315-2743
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112954363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner