Healthcare Provider Details

I. General information

NPI: 1306405311
Provider Name (Legal Business Name): JOENITA DENISE ALEXANDER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 MONTGOMERY RD
CINCINNATI OH
45242-4402
US

IV. Provider business mailing address

10500 MONTGOMERY RD
CINCINNATI OH
45242-4402
US

V. Phone/Fax

Practice location:
  • Phone: 513-865-5050
  • Fax: 513-865-5051
Mailing address:
  • Phone: 513-865-5050
  • Fax: 513-865-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number024501
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: