MEDICARE: ALEXANDRA TEJADA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0200X	Pediatric Registered Nurse	259937	TN
2	163W00000X	Registered Nurse	259937	TN

General Provider Information

NPI Number	:	1093659955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA TEJADA RN

Provider Business Mailing Address
First Line	:	1278 CARNATION CT
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-1545
Country	:	US
Telephone Number	:	931-449-9002
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	615-936-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ ALEXANDRA TEJADA RN” Practice Location

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