MEDICARE: MS. NEPPSI PAULINE ALEXANDER NP

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	363LF0000X	Family Nurse Practitioner	RN171005	GA

General Provider Information

NPI Number	:	1699403618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NEPPSI PAULINE ALEXANDER NP

Provider Business Mailing Address
First Line	:	61 WHITCHER ST NE STE 2100
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30060-1179
Country	:	US
Telephone Number	:	770-423-0595
Fax Number	:	770-373-4215

Provider Business Practice Location Address
First Line	:	61 WHITCHER ST NE STE 2100
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30060-1179
Country	:	US
Telephone Number	:	770-423-0595
Fax Number	:	770-373-4215

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

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	03/03/2026

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