Kittrell, Alexandra Dionne

Kittrell, Alexandra Dionne is an individual health care provider with primary practice located at 825 Medical Dr Ste A , Tyler TX 75701-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kittrell, Alexandra Dionne can be contacted via phone (903) 758-2610.

Contact Information

Primary practice address
825 Medical Dr Ste A Tyler TX 75701-2143
Phone: (903) 758-2610
Fax: (903) 758-7081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP123277 Texas

Profile Details

NPI number 1801134085
LBN Legal business name Kittrell, Alexandra Dionne
Credentials APRN, MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2013
Last updated May 2nd, 2024 - about last year

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 1801134085 NPPES
Texas MEDICAID 345740604
Texas Other P02469245
Texas Other 1A5255
Texas Other 8MD940

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