1225225782 NPI number — NANCY POSHEDLEY ALEXANDER RNC / FNP

Table of content: NANCY POSHEDLEY ALEXANDER RNC / FNP (NPI 1225225782)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225225782 NPI number — NANCY POSHEDLEY ALEXANDER RNC / FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALEXANDER
Provider First Name:
NANCY
Provider Middle Name:
POSHEDLEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RNC / FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225225782
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
875 ABITA CHASE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSSIER CITY
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71111-6435
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-393-1040
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1006 HIGHLAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71101-4103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-423-1943
Provider Business Practice Location Address Fax Number:
318-687-1119
Provider Enumeration Date:
09/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP03294 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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