NPI 1902622202 · live from the CMS NPI Registry
Gretta Goines Alexander, FNP-BC
Nurse Practitioner, Family in Stockbridge, GA. National Provider Identifier 1902622202, active.
NPI record
| NPI | 1902622202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 175 Country Club Dr, Stockbridge, GA 30281 |
| Practice phone | 800-410-4663 |
| Mailing address | 1640 Fuma Leaf Way, Mcdonough, GA 30253 |
| Enumerated | December 2, 2024 |
| Last updated | January 15, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Hospice | 163WH1000X | RN176479 (GA) |
| Nurse Practitioner, Family primary | 363LF0000X | RN176479 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.