| Betty Jo Alexander, NP | |
| 
					517 Fifth Ave, Picayune, MS 39466-3203  | |
| (601) 590-1045 | |
| (601) 799-0052 | 
| Full Name | Betty Jo Alexander | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 517 Fifth Ave, Picayune, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790828580 | NPI | - | NPPES | 
| R687693 | Other | MS | LICENSE | 
| 01808531 | Medicaid | MS | |
| 00126950 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AP03593 (Louisiana) | Secondary | 
| 363LP0200X | Nurse Practitioner - Pediatrics | 687693 (Mississippi) | Primary | 
| Entity Name | Childrens Hospital Medical Practice Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821090713 PECOS PAC ID: 5597944579 Enrollment ID: O20110124000073  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Betty Jo Alexander, NP 517 Fifth Ave, Picayune, MS 39466-3203 Ph: (601) 590-1045  | Betty Jo Alexander, NP 517 Fifth Ave, Picayune, MS 39466-3203 Ph: (601) 590-1045  | 
Mrs. Cari Thawn Macdonald, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-3989 Fax: 601-798-3964  | |
Aurora B. King,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Sreet A, Suite A, Picayune, MS 39466 Phone: 601-799-2121 Fax: 601-799-2429  | |
Mr. Aaron Daniel Duracher Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Cooper Rd, Picayune, MS 39466 Phone: 769-242-1700  | |
Brittany Shaw, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1839 Cooper Rd Ste 100, Picayune, MS 39466 Phone: 769-242-1700 Fax: 769-242-2148  | |
Christopher L Sones, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Highland Pkwy, Picayune, MS 39466 Phone: 601-358-9400  | |
Mollie Robinson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 517 Fifth Ave, Picayune, MS 39466 Phone: 601-799-5865  | |
Jefferson Buntin, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 146 Highland Pkwy, Picayune, MS 39466 Phone: 601-358-9765  |