Provider Demographics
NPI:1982982765
Name:PIERRE, ALEXANDRA (AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:AJIBADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGPCNP-BC
Mailing Address - Street 1:22 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:HELMETTA
Mailing Address - State:NJ
Mailing Address - Zip Code:08828-1239
Mailing Address - Country:US
Mailing Address - Phone:347-733-9488
Mailing Address - Fax:
Practice Address - Street 1:22 AVENUE B
Practice Address - Street 2:
Practice Address - City:HELMETTA
Practice Address - State:NJ
Practice Address - Zip Code:08828
Practice Address - Country:US
Practice Address - Phone:347-733-9488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2023-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY641239163W00000X
NY2022138430363LG0600X
NY311233363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse