Individual provider · Type 1 NPI

Alexis Fortner, MSN, APRN, AGACNP-BC

Acute Care Nurse Practitioner · Tampa, FL

NPI number 1053296764 Active

Practice location

4620 N Habana Ave Ste 101
Tampa, FL 33614-7107

Fax (813) 876-7055

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X11041455 (FL)
Gerontology Nurse Practitioner 363LG0600X11041455 (FL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1053296764

Alexis Fortner, MSN, APRN, AGACNP-BC's National Provider Identifier is 1053296764, issued on Aug 11, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tampa, FL. The record was last updated on Aug 5, 2026.