Healthcare Provider Details

I. General information

NPI: 1811766892
Provider Name (Legal Business Name): LEANNA HENSLEY-GOLDEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEANNA GOLDEY FNP-C

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3704 NORTH BLVD STE 3
ALEXANDRIA LA
71301-3658
US

IV. Provider business mailing address

3704 NORTH BLVD STE 3
ALEXANDRIA LA
71301-3658
US

V. Phone/Fax

Practice location:
  • Phone: 318-206-5893
  • Fax: 318-782-5252
Mailing address:
  • Phone: 318-206-5893
  • Fax: 318-782-5252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number215469
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: