Alexander, Betty Jo

Alexander, Betty Jo is an individual health care provider with primary practice located at 517 Fifth Ave , Picayune MS 39466-3203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Alexander, Betty Jo can be contacted via phone (601) 590-1045.

Contact Information

Primary practice address
517 Fifth Ave Picayune MS 39466-3203
Phone: (601) 590-1045
Fax: (601) 799-0052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R687693 Mississippi

Profile Details

NPI number 1790828580
LBN Legal business name Alexander, Betty Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790828580 NPPES
Mississippi MEDICAID 00126950
Mississippi MEDICAID 01808531
Mississippi Other R687693

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