Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex Camille Jefferson, PMHNP-BC

Individual provider Registered Nurse · NPI 1588950919

Alex Camille Jefferson, PMHNP-BC is a Nurse Practitioner in Kennett, Missouri. Qualified in 2019, 7 years ago. Practices with Family Counseling Center Inc, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

935 State Route Vv
Kennett, MO 63857-3822
Phone: (573) 888-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2020001065 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2011017684 (MO)

Record details

NPI number1588950919
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Family Counseling Center Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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