Healthcare Provider Details

I. General information

NPI: 1225919715
Provider Name (Legal Business Name): ASHLEA N ALEXANDER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 OLD JEANERETTE RD
NEW IBERIA LA
70563-3040
US

IV. Provider business mailing address

2309 OLD JEANERETTE RD
NEW IBERIA LA
70563-3040
US

V. Phone/Fax

Practice location:
  • Phone: 337-256-5317
  • Fax:
Mailing address:
  • Phone: 337-256-5317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number210400
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: