Healthcare Provider Details
I. General information
NPI: 1568386779
Provider Name (Legal Business Name): ALEXI TAYLOR TOMPKINS BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2235 MORTONS GAP RD
WHITE PLAINS KY
42464-9424
US
IV. Provider business mailing address
2235 MORTONS GAP RD
WHITE PLAINS KY
42464-9424
US
V. Phone/Fax
- Phone: 270-621-1194
- Fax: 270-621-1194
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: