Basic Information
Provider Information
NPI: 1225225782
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDER
FirstName: NANCY
MiddleName: POSHEDLEY
NamePrefix:  
NameSuffix:  
Credential: RNC / FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 745 OLIVE ST
Address2: SUITE 200
City: SHREVEPORT
State: LA
PostalCode: 711042246
CountryCode: US
TelephoneNumber: 3182260809
FaxNumber: 3182260812
Practice Location
Address1: 745 OLIVE ST
Address2: SUITE 200
City: SHREVEPORT
State: LA
PostalCode: 711042246
CountryCode: US
TelephoneNumber: 3182260809
FaxNumber: 3182260812
Other Information
ProviderEnumerationDate: 09/28/2007
LastUpdateDate: 09/28/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAP03294LAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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