Provider Demographics
NPI:1952684268
Name:ALEXANDER, ALICIA M (CPNP, PMHS)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:ALEXANDER
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Gender:F
Credentials:CPNP, PMHS
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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 1:474 INDUSTRIAL LANE
Practice Address - Street 2:PEDIATRIC CLINIC-ONEIDA
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-4685
Practice Address - Country:US
Practice Address - Phone:423-286-8600
Practice Address - Fax:423-286-8644
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2024-09-20
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Provider Licenses
StateLicense IDTaxonomies
TN202275102080P0006X, 2080P0008X
TN16121364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities