Basic Information
Provider Information
NPI: 1770541658
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDER TAYLOR
FirstName: JANICE
MiddleName: MARIE
NamePrefix: MS.
NameSuffix:  
Credential: CNM, MN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ALEXANDER-TAYLOR
OtherFirstName: JANICE
OtherMiddleName:  
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: CNM, MN
OtherLastNameType: 5
Mailing Information
Address1: 2304 WESVILL CT
Address2: SUITE 210
City: RALEIGH
State: NC
PostalCode: 276072973
CountryCode: US
TelephoneNumber: 9197826700
FaxNumber: 9197822218
Practice Location
Address1: 2304 WESVILL CT
Address2: SUITE 210
City: RALEIGH
State: NC
PostalCode: 276072973
CountryCode: US
TelephoneNumber: 9197826700
FaxNumber: 9197822218
Other Information
ProviderEnumerationDate: 05/02/2006
LastUpdateDate: 06/10/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400XCNM044 ACNM4360NCY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


Home