Provider Demographics
NPI:1952684268
Name:ALEXANDER, ALICIA M (NP)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:9000 EXECUTIVE PARK DR
Mailing Address - Street 2:C200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4685
Mailing Address - Country:US
Mailing Address - Phone:865-670-6199
Mailing Address - Fax:865-670-6188
Practice Address - Street 1:220 LANGLAND ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37915-1415
Practice Address - Country:US
Practice Address - Phone:865-594-5078
Practice Address - Fax:865-594-3921
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN16121364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics