Individual ProviderMona Jill Graham AlexanderNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6169 Hwy 98 W, Suite 30, Hattiesburg, MS 39402(601) 602-5000PECOS EnrollmentBased on the most recent information from CMS, provider Mona Jill Graham Alexander does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1053496489Provider TypeIndividualFull NameGraham Alexander, Mona JillTitleMrs.CredentialFNP-BC, CNOR, RNFAGenderFemaleSole ProprietorYesEnumeration Date10/25/2006Last Updated8/17/2014Contact InformationPractice LocationPractice Address6169 Hwy 98 W, Suite 30, Hattiesburg, MS 39402Phone(601) 602-5000Fax(601) 602-5003Mailing LocationMailing Address6169 Hwy 98 W, Suite 30, Hattiesburg, MS 39402Phone(601) 602-5000Fax(601) 602-5003Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR865316MississippiCode163WR0006XDescriptionRegistered NurseNursing Service ProvidersLicenseR856316Mississippi