NPI Code Details Logo

NPI 1962037051

NPI 1962037051 : REBECCA SUE ALEXANDER FNP : SHARONVILLE, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1962037051
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    REBECCA SUE ALEXANDER FNP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/09/2020
-----------------------------------------------------
    Last Update Date     |    05/07/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3600 PARK 42 DR STE 3650 
-----------------------------------------------------
    City                 |    SHARONVILLE
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45241-4039
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-229-2189
-----------------------------------------------------
    Fax                  |    844-527-9397
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4612 HALLANDALE DR 
-----------------------------------------------------
    City                 |    BATAVIA
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45103-4019
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    513-368-7030
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    2025003018
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    209031538
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    3016043
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    CNP231475
-----------------------------------------------------
    License Number State |    ME
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    APRNCNP026454
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.