Individual provider · Type 1 NPI

Alexa Royal Wall

Student in an Organized Health Care Education/Training Program · Lawrenceville, GA

NPI number 1205708591 Active

Practice location

550 Medical Center Blvd
Lawrenceville, GA 30046-7688

Call (678) 312-4790 Map

Mailing address

1540 Highway 82
Winder, GA 30680-3306

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Registered Nurse 163W00000XRN315141 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8 other providers at this address

Other student in an organized health care education/training program providers in Lawrenceville

See all in Lawrenceville →

About NPI 1205708591

Alexa Royal Wall's National Provider Identifier is 1205708591, issued on Sep 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lawrenceville, GA. The record was last updated on Oct 1, 2025.