MEDICARE: ALEXA JUDITH MERCHANT NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9432788	FL
2	363L00000X	Nurse Practitioner	APRN9432788	FL

General Provider Information

NPI Number	:	1194168724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA JUDITH MERCHANT NP

Provider Business Mailing Address
First Line	:	3502 HENDERSON BLVD STE 314
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4087
Country	:	US
Telephone Number	:	813-714-7497
Fax Number	:	813-462-2921

Provider Business Practice Location Address
First Line	:	3502 HENDERSON BLVD STE 314
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4087
Country	:	US
Telephone Number	:	813-714-7397
Fax Number	:	813-462-2921

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

Provider Enumeration Date	:	04/13/2013
Last Update Date	:	05/13/2026

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