| Doctor Name: | ALEXIS BROOKE MUSSER |
| NPI Number: | 1073869327 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN184372 |
| Business Practice Address: | 138 W Gibson St Hartwell, GA - 306431847 |
| Business Phone Number: | 7066217575 |
| Business Fax Number: | 7066217557 |
| Mailing Address: | Po Box 529, ROYSTON |
| State: | GA |
| Postal Code: | 306620529 |
| Phone Number: | 7066217575 |
| Fax Number: | 7066217557 |
| NPI Enumeration Date: | 07/24/2012 |
| NPI Last Update Date: | 09/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN184372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |