Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRIEL ALEXANDER
Active Sole ProprietorNeuroscience Nurse · JACKSON, MS
Registration Details
- NPI Number
- 1134718554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2021 (5.2851585695666 yrs)
- Last Updated
- Jan 11, 2021
- License
-
900816 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3361 FLEETWOOD DRJACKSON, MS, 392123965Browse MS providers · Browse ZIP 39212
- Phone
- 6018263008
- Primary Specialty
-
Neuroscience Nurse
163WN0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.