Healthcare Provider Details

I. General information

NPI: 1558177048
Provider Name (Legal Business Name): ALEXANDRA COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALI COHEN

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6025 BROOKVALE LN STE 202
KNOXVILLE TN
37919-4031
US

IV. Provider business mailing address

6025 BROOKVALE LN STE 202
KNOXVILLE TN
37919-4031
US

V. Phone/Fax

Practice location:
  • Phone: 865-484-6007
  • Fax:
Mailing address:
  • Phone: 865-484-6007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: