ALEXANDRA L BOURCY-CRANDELL PA-C NPI 1902373095

NPI Information

NPI: 1902373095
Provider Name: ALEXANDRA L BOURCY-CRANDELL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1503 HIGHWAY 45 N
COLUMBUS, MS
ZIP 39705
Phone: (662) 328-9623
Get Directions

Alexandra L Bourcy-crandell, PA-C is a medical physician assistant in Columbus, MS with 6 years of experience. Alexandra L Bourcy-crandell, PA-C NPI is 1902373095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1503 HIGHWAY 45 N
COLUMBUS, MS
ZIP 39705-113
Phone: (662) 328-9623

The NPI 1902373095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2018 and was last updated on 9/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	363A00000X	Physician Assistant		PA56628	CALIFORNIA	No
3	207Q00000X	Family Medicine		PA56628	CALIFORNIA	No
4	363AM0700X	Physician Assistant	Medical	PA56628	CALIFORNIA	No
5	363AM0700X	Physician Assistant	Medical	PA00673	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA00673	OTHER	MISSISSIPPI	MS MEDICAL BOARD
2	PA56628	OTHER	CALIFORNIA	STATE OF CALIFORNIA DCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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