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Contact Information

DERRIEL ALEXANDER
3361 FLEETWOOD DR
JACKSON, MS39212-3965
 Phone: 601-826-3008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroscience

163WN0800X
Indicates primary specialty

NPI Profile & details for DERRIEL ALEXANDER · (Female)

NPI # 1134718554
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2021
Last updated 01/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 900816
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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