Healthcare Provider Details

I. General information

NPI: 1962345231
Provider Name (Legal Business Name): CHANDRA DENISE ALEXANDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 HERON BAY RD
JACKSONVILLE FL
32218-3595
US

IV. Provider business mailing address

14012 SUMMER BREEZE DR E
JACKSONVILLE FL
32218-8912
US

V. Phone/Fax

Practice location:
  • Phone: 904-470-6900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11050676
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: