Provider Demographics
NPI:1649022120
Name:ASHBURN, ALEXANDRA DUPREE (DC)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:DUPREE
Last Name:ASHBURN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-2923
Mailing Address - Country:US
Mailing Address - Phone:864-905-3542
Mailing Address - Fax:
Practice Address - Street 1:733 VOLVO PKWY STE 150
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-1622
Practice Address - Country:US
Practice Address - Phone:757-436-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor