JENNIFER CHRISTINE ALEXANDER


Address: 4215 N Prospect Rd, Peoria, IL 61616-7754
Phone: 3096869209

JENNIFER CHRISTINE ALEXANDER (NPI# 1992233977) 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) 1992233977
Entity Type Individual
Full Name JENNIFER CHRISTINE ALEXANDER
Credential PMHNP
Practice Address 4215 N Prospect Rd
Peoria
IL 61616-7754
Practice Telephone 3096869209
Practice Fax Number 3094175089
Mailing Telephone 3096869209
Mailing Fax Number 3094175089
Enumeration Date 2017-06-02
Last Update Date 2020-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
209016014 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL LICENSE 209016014 01
LICENSE 209016014 01

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Office Location

Street Address 4215 N PROSPECT RD
City PEORIA
State IL
Zip Code 61616-7754

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558748350 Jennifer Lynn Kroll Pediatrics 1317 E Kelly Ave, Peoria Heights, IL 61616 2015-04-30
1649583485 Aline Azar Internal Medicine 1120 E War Memorial Drive, Peoria Heights, IL 61616 2010-07-22
1417137217 Reza Vakili Dentist 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 2007-11-08
1588700348 Sandra Kay Chatwood Counselor 3709 N Atlantic Ave, Peoria Heights, IL 61616 2007-01-29
1578619524 Donald B Braunagel Dentist 924b F Glen Ave, Peoria Heights, IL 61616 2007-01-25
1417009481 Jeffrey Scott Whitson Dentist 924 E Glen Ave, #b, Peoria Heights, IL 61616 2007-01-18
1003986019 Sharshon Pharmacy. Inc. Pharmacy 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 2006-11-08
1659790350 Kevin Spangler Nurse Practitioner 1120 E War Memorial Dr, Peoria Heights, IL 61616 2014-04-09
1114026754 Mark Montefolka Family Medicine 1120 E War Memorial Dr, Peoria Heights, IL 61616 2006-09-21
1467683334 Unlimited Advacare Systems, Inc Durable Medical Equipment & Medical Supplies 819 E London Ave, Peoria, IL 61616-1360 2009-07-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1811483480 Kimberly Ann Cochran Nurse Practitioner 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 2018-07-07
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1538498738 Ronnie Abush Brown-woodhull Nurse Practitioner Partners In Recovery - West Valley Clinic, 14100 W 83rd Avenue Ste 100, Peoria, AZ 85381 2009-12-17
1336307495 Courtney Ann Keller Nurse Practitioner 9165 W Thunderbird Rd Suite 201, Peoria, AZ 85381-4847 2008-05-27
1730251034 Lisa D'alessandro-betancourt Nurse Practitioner 11361 N 99th Ave Ste 200, Peoria, AZ 85345-5470 2006-11-14
1932713435 Lori Sue Trilikis Nurse Practitioner 7317 N Willow Lake Ct, Peoria, IL 61614-8227 2020-09-02
1821614520 Shawna Steffes Nurse Practitioner 11361 N 99th Ave, Peoria, AZ 85345-5470 2020-06-18
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City PEORIA
Zip Code 61616

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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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