Healthcare Provider Details

I. General information

NPI: 1750168084
Provider Name (Legal Business Name): ALEXANDRA JAEL BURROWS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA JAEL ANDERSON

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 THOMPSON LN STE 72100
NASHVILLE TN
37204-3609
US

IV. Provider business mailing address

5007 KENTUCKY AVE
NASHVILLE TN
37209-2213
US

V. Phone/Fax

Practice location:
  • Phone: 615-421-4635
  • Fax:
Mailing address:
  • Phone: 480-414-9458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number742
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: