Provider Demographics
NPI:1770116071
Name:MCGAHEE, ALEXIS DANIELLE (CNA)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:DANIELLE
Last Name:MCGAHEE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8467 PERKINS CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-1640
Mailing Address - Country:US
Mailing Address - Phone:904-432-6996
Mailing Address - Fax:
Practice Address - Street 1:8467 PERKINS CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-1640
Practice Address - Country:US
Practice Address - Phone:904-432-6996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-15
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care