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NPI Code Detail

MEDICARE: MISS ALEXANDRA HAYDEN REVLETT PA-C

MEDICARE: MISS ALEXANDRA HAYDEN REVLETT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant5232TN

General Provider Information

NPI Number : 1285351916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALEXANDRA HAYDEN REVLETT PA-C
Provider Business Mailing Address
First Line : 2933 MEDICAL CENTER PKWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-2276
Country : US
Telephone Number : 615-257-5601
Fax Number :
Provider Business Practice Location Address
First Line : 1801 N JACKSON ST
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-8259
Country : US
Telephone Number : 931-393-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2022
Last Update Date : 03/30/2026

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Directions to “ MISS ALEXANDRA HAYDEN REVLETT PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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