Waldrop, Alice Jeanette
Waldrop, Alice Jeanette is an individual health care provider with primary practice located at 2863 Highway 45 Byp , Jackson TN 38305-3618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Waldrop, Alice Jeanette can be contacted via phone (731) 422-0213.Contact Information
Primary practice address
2863 Highway 45 Byp
Jackson TN 38305-3618
Phone: (731) 422-0213
Fax: (731) 422-0357
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN42624 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN5345 | Tennessee |
Profile Details
NPI number | 1407825805 |
---|---|
LBN Legal business name | Waldrop, Alice Jeanette |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2006 |
Last updated | Oct 25th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407825805 | NPPES |
Tennessee | MEDICAID | 3902911 |
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