Healthcare Provider Details

I. General information

NPI: 1255256772
Provider Name (Legal Business Name): STEPHANIE JILL ALDY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE JILL MOSLEY ALDY RN

II. Dates (important events)

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

III. Provider practice location address

244 BOND ST
JONESBORO LA
71251-5334
US

IV. Provider business mailing address

621 HICKORY LN
JONESBORO LA
71251-6551
US

V. Phone/Fax

Practice location:
  • Phone: 318-259-1100
  • Fax:
Mailing address:
  • Phone: 318-533-0103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number248547
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: