Healthcare Provider Details

I. General information

NPI: 1811812274
Provider Name (Legal Business Name): A&L HEALTH AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 PARKLANE DR
BOSSIER CITY LA
71111-6062
US

IV. Provider business mailing address

107 PARKLANE DR
BOSSIER CITY LA
71111-6062
US

V. Phone/Fax

Practice location:
  • Phone: 318-455-4126
  • Fax: 318-906-4459
Mailing address:
  • Phone: 318-455-4126
  • Fax: 318-906-4459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. NIKURA TUCKER
Title or Position: OWNER
Credential: DNP
Phone: 318-455-4126