MEDICARE: ALEXA DAWN ROSS

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
1	163WC1500X	Community Health Registered Nurse	4704364401	MI

General Provider Information

NPI Number	:	1619835980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA DAWN ROSS

Provider Business Mailing Address
First Line	:	310 E 3RD ST APT 202
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1703
Country	:	US
Telephone Number	:	810-767-8121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 PERSHING ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-3533
Country	:	US
Telephone Number	:	810-767-8121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ALEXA DAWN ROSS ” Practice Location

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