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NPI Code Detail

MEDICARE: ALEXANDRA JANE PRESCOTT

MEDICARE:   ALEXANDRA JANE PRESCOTT
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
1367500000XCertified Registered Nurse Anesthetist8040NC

General Provider Information

NPI Number : 1295465458
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA JANE PRESCOTT
Provider Business Mailing Address
First Line : MEDICAL CENTER BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-3245
Fax Number : 336-716-0567
Provider Business Practice Location Address
First Line : 124 E GATE CITY BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-1457
Country : US
Telephone Number : 352-398-3077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2022
Last Update Date : 10/23/2025

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Directions to “ ALEXANDRA JANE PRESCOTT ” Practice Location

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