Jefferson, Alex Camille

Jefferson, Alex Camille is an individual health care provider with primary practice located at 935 State Route Vv , Kennett MO 63857-3822. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jefferson, Alex Camille can be contacted via phone (573) 888-5925.

Contact Information

Primary practice address
935 State Route Vv Kennett MO 63857-3822
Phone: (573) 888-5925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2011017684 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2020001065 Missouri

Profile Details

NPI number 1588950919
LBN Legal business name Jefferson, Alex Camille
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Jan 16th, 2020 - about 4 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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