Healthcare Provider Details

I. General information

NPI: 1811805054
Provider Name (Legal Business Name): HALEY RENEE ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 LINKS DR
ALEXANDRIA LA
71303-9718
US

IV. Provider business mailing address

301 LINKS DR
ALEXANDRIA LA
71303-9718
US

V. Phone/Fax

Practice location:
  • Phone: 318-447-1047
  • Fax:
Mailing address:
  • Phone: 318-447-1047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number201169
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: