Healthcare Provider Details

I. General information

NPI: 1972814523
Provider Name (Legal Business Name): MS. FELICIA SHAREE ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 W 14TH ST
UPLAND CA
91786-2517
US

IV. Provider business mailing address

1206 W 14TH ST
UPLAND CA
91786-2517
US

V. Phone/Fax

Practice location:
  • Phone: 909-360-8526
  • Fax:
Mailing address:
  • Phone: 909-360-8526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number130393
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: