Provider Demographics
NPI:1841094075
Name:REPSHER, ALYSSA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:LYNN
Last Name:REPSHER
Suffix:
Gender:
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:105 N AUSTIN AVE APT 4202
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-4243
Mailing Address - Country:US
Mailing Address - Phone:484-892-0104
Mailing Address - Fax:
Practice Address - Street 1:2405 CLEAR CREEK RD STE 350
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5775
Practice Address - Country:US
Practice Address - Phone:254-618-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA18994363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant