Healthcare Provider Details

I. General information

NPI: 1942134606
Provider Name (Legal Business Name): KRISTEN MARGE ALEXANDER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 W MAIN ST
HOMER LA
71040-3328
US

IV. Provider business mailing address

620 E COLLEGE ST
HOMER LA
71040-3202
US

V. Phone/Fax

Practice location:
  • Phone: 318-927-3571
  • Fax: 318-927-2677
Mailing address:
  • Phone: 318-927-2024
  • Fax: 318-927-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number247511
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: