Alexander, Jacquelyn Dee

Alexander, Jacquelyn Dee is an individual health care provider with primary practice located at 2288 N Merritt Creek Loop Ste 200 , Coeur D Alene ID 83814-4992. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Alexander, Jacquelyn Dee can be contacted via phone (208) 625-3800.

Contact Information

Primary practice address
2288 N Merritt Creek Loop Ste 200 Coeur D Alene ID 83814-4992
Phone: (208) 625-3800
Fax: (208) 625-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP55879 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 55879 Idaho

Profile Details

NPI number 1427579473
LBN Legal business name Alexander, Jacquelyn Dee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2017
Last updated Apr 23rd, 2024 - about 7 months 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 1427579473 NPPES
Idaho MEDICAID 1427579473

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