Healthcare Provider Details

I. General information

NPI: 1124917406
Provider Name (Legal Business Name): ALEXIS PAIGE WEBB CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 TWIN OAKS DR STE B
JACKSON OH
45640-9829
US

IV. Provider business mailing address

150 W MITCHELL ST
JACKSON OH
45640-1222
US

V. Phone/Fax

Practice location:
  • Phone: 740-682-0270
  • Fax:
Mailing address:
  • Phone: 740-988-6009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0039463
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: