Healthcare Provider Details

I. General information

NPI: 1962722785
Provider Name (Legal Business Name): CONSONYA ALECCIA ROGERS NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2408 FERRAND ST STE 14
MONROE LA
71201-3237
US

IV. Provider business mailing address

2252 TOWER DR STE 108 BOX 166
MONROE LA
71201-7363
US

V. Phone/Fax

Practice location:
  • Phone: 318-324-7520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number203551
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP203551
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN124656
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: