Alexis Jibril, MD
Family Medicine in Providence, Rhode Island
1427673458- Practice location
- 66 Branch Ave Ste 150, Providence, RI 02904-2756
- Phone
- 401-606-2590
- Fax
- 401-606-2591
- Last updated
- August 7, 2024
Alexis Jibril is a Family Medicine based in Providence, RI. Alexis Jibril practices in Providence, RI and has the professional credentials of MD. The NPI Number for Alexis Jibril is 1427673458 and holds a License No. 95838 (GA). The current practice location address for Alexis Jibril is 66 Branch Ave Ste 150, Providence, RI 02904-2756 and can be reached out via phone at 401-606-2590 and via fax at 401-606-2591.
Provider Profile Details
- NPI Number
- 1427673458
- Provider Name
- Alexis Jibril
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 Branch Ave Ste 150, Providence, RI 02904-2756
- Phone Number
- 401-606-2590
- Fax Number
- 401-606-2591
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 16, 2020
- Last Update Date
- August 7, 2024
- Certification Date
- August 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Branch Ave Ste 150
Providence, RI 02904-2756 - City
- Providence
- State
- Rhode Island
- Zip
- 02904-2756
- Phone Number
- 401-606-2590
- Fax Number
- 401-606-2591
Provider Business Mailing Address Details
- Address
- 117 Ellenfield St
Providence, RI 02905-4541 - City
- Providence
- State
- RI
- Zip
- 02905-4541
License Information
- License Number (1)
- 95838
- License State (1)
- GA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- MD20134
- License State (2)
- RI
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alexis Jibril, MD?
The NPI number of Alexis Jibril, MD is 1427673458. It was assigned on June 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Alexis Jibril, MD?
Alexis Jibril, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in GA under license number 95838.
Where does Alexis Jibril, MD practice?
The practice location is 66 Branch Ave Ste 150, Providence, RI 02904-2756. The office can be reached at 401-606-2590 (phone) or 401-606-2591 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427673458 directly on the NPPES registry website.