| Mylissa Blayne Alexander, APRN, FNP-C | |
|
3906 E Us Highway 377, Suite 100, Granbury, TX 76049-7608 | |
| (817) 279-1390 | |
| (817) 573-5150 |
| Full Name | Mylissa Blayne Alexander |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3906 E Us Highway 377, Granbury, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952736811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 683870 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Mylissa Blayne Alexander, APRN, FNP-C Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Mylissa Blayne Alexander, APRN, FNP-C 3906 E Us Highway 377, Suite 100, Granbury, TX 76049-7608 Ph: (817) 279-1390 |
Tricia Dawn Beisch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Maverick Ct, Granbury, TX 76049 Phone: 888-731-8994 Fax: 833-775-1861 | |
Ashton Renee Long, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Davis Rd, Granbury, TX 76049 Phone: 254-485-8062 Fax: 866-300-8682 | |
Mrs. Taylor Searcey, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1204 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-573-5688 | |
Debra Lynn Shearon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Pecan Arbor Ct, Granbury, TX 76049 Phone: 817-578-1667 | |
Monica D Lee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310b Paluxy Road, Suite 3000, Granbury, TX 76048 Phone: 817-579-3978 Fax: 817-579-3977 | |
Renee Tabuena, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 112 Maverick Ct, Granbury, TX 76049 Phone: 888-731-8994 | |
Alexandra Timmons, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1204 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-573-5688 |