1255256772 NPI number — STEPHANIE JILL ALDY PMHNP

Table of content: STEPHANIE JILL ALDY PMHNP (NPI 1255256772)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255256772 NPI number — STEPHANIE JILL ALDY PMHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALDY
Provider First Name:
STEPHANIE
Provider Middle Name:
JILL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PMHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOSLEY ALDY
Provider Other First Name:
STEPHANIE
Provider Other Middle Name:
JILL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1255256772
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/18/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 70
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HODGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71247-0070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-259-1100
Provider Business Mailing Address Fax Number:
318-259-1333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
244 BOND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71251-5334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-259-1100
Provider Business Practice Location Address Fax Number:
318-259-1333
Provider Enumeration Date:
08/12/2026

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: 363LP0808X , with the licence number:  248547 , 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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