Provider Demographics
NPI:1447548334
Name:ALEXANDER, JESSI LEA (DC)
Entity type:Individual
Prefix:
First Name:JESSI
Middle Name:LEA
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 W CHANDLER BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7537
Mailing Address - Country:US
Mailing Address - Phone:480-482-1843
Mailing Address - Fax:480-963-0454
Practice Address - Street 1:565 W CHANDLER BLVD STE 210
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7537
Practice Address - Country:US
Practice Address - Phone:480-482-1843
Practice Address - Fax:480-865-3827
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8213111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor