Provider Demographics
NPI:1770541658
Name:ALEXANDER TAYLOR, JANICE MARIE (CNM, MN)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:MARIE
Last Name:ALEXANDER TAYLOR
Suffix:
Gender:F
Credentials:CNM, MN
Other - Prefix:MS
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:ALEXANDER-TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM, MN
Mailing Address - Street 1:2304 WESVILL CT
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-2973
Mailing Address - Country:US
Mailing Address - Phone:919-782-6700
Mailing Address - Fax:919-782-2218
Practice Address - Street 1:2304 WESVILL CT
Practice Address - Street 2:SUITE 210
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-2973
Practice Address - Country:US
Practice Address - Phone:919-782-6700
Practice Address - Fax:919-782-2218
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCNM044 ACNM4360207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology