Healthcare Provider Details

I. General information

NPI: 1598672529
Provider Name (Legal Business Name): MEGAN ELISE ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17184 OBSIDIAN CIR
ATHENS AL
35613-5981
US

IV. Provider business mailing address

17184 OBSIDIAN CIR
ATHENS AL
35613-5981
US

V. Phone/Fax

Practice location:
  • Phone: 256-609-8991
  • Fax:
Mailing address:
  • Phone: 256-609-8991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number1-155313
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: