Provider Demographics
NPI:1962871244
Name:WEEKLEY, ALEX (FNP-C)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:WEEKLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:BROWNE
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2002 JUDSON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-5647
Mailing Address - Country:US
Mailing Address - Phone:903-746-6573
Mailing Address - Fax:
Practice Address - Street 1:2002 JUDSON RD STE 201
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5647
Practice Address - Country:US
Practice Address - Phone:903-746-6573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129059363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner