Healthcare Provider Details

I. General information

NPI: 1275324865
Provider Name (Legal Business Name): LOUISIANA PROFESSIONAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 4TH ST STE 30137
ALEXANDRIA LA
71301-8422
US

IV. Provider business mailing address

301 4TH ST STE 30137
ALEXANDRIA LA
71301-8422
US

V. Phone/Fax

Practice location:
  • Phone: 318-445-8606
  • Fax: 318-445-8694
Mailing address:
  • Phone: 318-445-8606
  • Fax: 318-445-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY NELSON JAMES
Title or Position: OWNER
Credential: MD, DDS, FACS
Phone: 979-255-5252