Provider Demographics
NPI:1912298209
Name:ALEXANDER, BRANDY DANIELLE (CNP)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:DANIELLE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:3333 RIVERWOOD PKWY SE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3304
Mailing Address - Country:US
Mailing Address - Phone:770-914-0116
Mailing Address - Fax:770-955-4278
Practice Address - Street 1:1502 W 3RD ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:GA
Practice Address - Zip Code:30233-1979
Practice Address - Country:US
Practice Address - Phone:678-774-0430
Practice Address - Fax:770-775-3410
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2025-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH368204163W00000X
OHCNP023619363LF0000X
AZ218787363LF0000X
GAGAA-NP002797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse