Healthcare Provider Details

I. General information

NPI: 1497650535
Provider Name (Legal Business Name): ALEXIS CUNDIFF CNM, FNP/BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 CHESAPEAKE LN
CLARKSVILLE TN
37040-5263
US

IV. Provider business mailing address

2083 HUNTINGTON LN
PLEASANT VIEW TN
37146-2300
US

V. Phone/Fax

Practice location:
  • Phone: 931-538-1811
  • Fax:
Mailing address:
  • Phone: 270-350-8354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number281572
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: