Healthcare Provider Details

I. General information

NPI: 1932003274
Provider Name (Legal Business Name): ALEXIS DELANEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 OLD BARDSTOWN RD STE B
LOUISVILLE KY
40291-4435
US

IV. Provider business mailing address

5 CALLERY PEAR DR
BATESVILLE IN
47006-9189
US

V. Phone/Fax

Practice location:
  • Phone: 502-618-2823
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4064552
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: