Provider Demographics
NPI:1225225782
Name:ALEXANDER, NANCY POSHEDLEY (RNC / FNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:POSHEDLEY
Last Name:ALEXANDER
Suffix:
Gender:
Credentials:RNC / FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 ABITA CHASE
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-6435
Mailing Address - Country:US
Mailing Address - Phone:318-393-1040
Mailing Address - Fax:
Practice Address - Street 1:1006 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4103
Practice Address - Country:US
Practice Address - Phone:318-423-1943
Practice Address - Fax:318-687-1119
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X793Medicare PIN