NPI 1063096550 · live from the CMS NPI Registry
Jeremy C Alexander
Community Health Worker in Henderson, NV. National Provider Identifier 1063096550, active.
NPI record
| NPI | 1063096550 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Community Health Worker 172V00000X |
| Practice location | 35 E Horizon Ridge Pkwy Ste 110-428, Henderson, NV 89002 |
| Practice phone | 702-305-8810 |
| Enumerated | May 10, 2021 |
| Last updated | January 24, 2025 |
| Sole proprietor | Yes |
| Other names | Jeremy Alexander |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (NV) |
| Community Health Worker primary | 172V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.