Healthcare Provider Details

I. General information

NPI: 1851987887
Provider Name (Legal Business Name): JONESHA ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 E SAINT PETER ST
NEW IBERIA LA
70560-3752
US

IV. Provider business mailing address

5215 RICHARD AVE
ALEXANDRIA LA
71302-2635
US

V. Phone/Fax

Practice location:
  • Phone: 337-321-9204
  • Fax: 337-321-9210
Mailing address:
  • Phone: 254-350-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: