Provider Demographics
NPI:1396441457
Name:BERNARD, ALEXANDRA LEIGH (FNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LEIGH
Last Name:BERNARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:L
Other - Last Name:BERNARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20209 SENTARA WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:VA
Mailing Address - Zip Code:23314-3574
Mailing Address - Country:US
Mailing Address - Phone:757-542-2000
Mailing Address - Fax:757-542-2001
Practice Address - Street 1:20209 SENTARA WAY STE 200
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314-3574
Practice Address - Country:US
Practice Address - Phone:757-542-2000
Practice Address - Fax:757-542-2001
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily