ALEXANDRIA TANNER


Address: 3890 Bienville Blvd, Ocean Springs, MS 39564-5803
Phone: 2288185521

ALEXANDRIA TANNER (NPI# 1710371018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710371018
Entity Type Individual
Full Name ALEXANDRIA TANNER
Credential NP
Practice Address 3890 Bienville Blvd
Ocean Springs
MS 39564-5803
Mailing Address 1720 Medical Park Dr
Biloxi
MS 39532-2131
Practice Telephone 2288185521
Practice Fax Number 2288722225
Mailing Telephone 2283927429
Enumeration Date 2015-03-24
Last Update Date 2019-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
877478 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3890 BIENVILLE BLVD
City OCEAN SPRINGS
State MS
Zip Code 39564-5803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700885746 Alfred Earl Mcnair Jr. Internal Medicine 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2005-07-20
1215418975 Takiffany Jean Mcleod Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564 2018-08-22
1811439490 Luan Langham Brown Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2016-11-14
1902348725 Digestive Health Center Clinic/Center 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2016-11-10
1588015903 Tina J Ceccorulli Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2016-06-27
1114397536 Susan P Muzslay Dietitian, Registered 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2015-09-28
1073916771 Jeanette Shabazz Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2014-10-08
1366841884 Aracelis Silva Single Specialty 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2014-08-20
1437558533 Mississippi Coastal Mri LLC Radiology 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2014-08-14
1528473261 Marshea Liddell Nurse Practitioner 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 2014-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750996401 Shelby Bourgeois Speech-Language Pathologist 108 Heron Park Pl, Ocean Springs, MS 39564 2020-09-10
1467010520 Rachel Stephenie Knox Student in an Organized Health Care Education/Training Program 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 2019-06-04
1457839292 Polly Anne Lampon Registered Nurse 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 2018-08-03
1578062725 Gulf Coast Sleep Medicine LLC Clinic/Center 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 2018-02-02
1598212623 Edward Victor Brown Jr. Dentist 15465 Oak Lane, Gulfport, MS 39564 2016-09-07
1386016749 L. Randy Buntyn, D.m.d., Pllc Dentist 1203 Government St., Ocean Springs, MS 39564 2015-10-26
1467835629 Msmobileyes Inc. Optometrist 2510 Bileville Blvd, Ocean Springs, MS 39564 2015-07-07
1659760999 Clark Jamison Levi Pharmacist 1019 Government Street Suite F & D, Ocean Springs, MS 39564 2015-01-09
1932545480 Therese Anne Hanna Nurse Practitioner 6900 Washington Avenue, Ocean Springs, MS 39564 2013-05-10
1346589421 Jennah Claine Ladner Nurse Practitioner 1137 Ocean Springs Road, Ocean Springs, MS 39564 2013-02-08
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1316500887 Hollie Waldron Nurse Practitioner 408 Council Cir Ste C, Tupelo, MS 38801-4949 2019-04-19
1063975621 Sheila Ann Frederick Nurse Practitioner 65 Patton Cemetary Rd, Fulton, MS 38843-9353 2019-04-10
1992263685 Nadine Theresa James Nurse Practitioner 1214 Velma St, Hattiesburg, MS 39402-2751 2019-03-12
1396202396 Roxane Theresa Moncure Nurse Practitioner 919 Rutherford Dr, Jackson, MS 39206-2033 2019-02-26
1750889416 Katherine Bolden Nurse Practitioner 1666 Highway 19 S, Meridian, MS 39301-8209 2018-01-29
1306350129 Tamika M Broome Nurse Practitioner 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 2017-12-01
1992227177 Charisma T. Cummings Nurse Practitioner 102 Riverview Drive, Suite A, Flowood, MS 39232 2017-07-10
1134589930 Rebecca L. Cauthen Nurse Practitioner 885 Liberty Rd Ste 300, Flowood, MS 39232-9006 2016-03-07
1114399284 Kristie G Jenkins Nurse Practitioner 2908 S Lamar Blvd, Suite 100, Oxford, MS 38655-5354 2015-10-28
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Competitor

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City OCEAN SPRINGS
Zip Code 39564

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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