MEDICARE: ALEXA KERNS 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	363LF0000X	Family Nurse Practitioner	39199	TN
2	163W00000X	Registered Nurse	250325	TN

General Provider Information

NPI Number	:	1760373047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXA KERNS NP

Provider Business Mailing Address
First Line	:	5546 HIGHWAY 153 STE 120
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-5329
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5546 HIGHWAY 153 STE 120
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-5329
Country	:	US
Telephone Number	:	423-486-1911
Fax Number	:

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

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	12/20/2025

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