Healthcare Provider Details

I. General information

NPI: 1609254630
Provider Name (Legal Business Name): MIA SCHEXNAYDER DAVIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8801 LAKE FOREST BLVD
NEW ORLEANS LA
70127-2448
US

IV. Provider business mailing address

8801 LAKE FOREST BLVD
NEW ORLEANS LA
70127-2448
US

V. Phone/Fax

Practice location:
  • Phone: 504-412-1488
  • Fax:
Mailing address:
  • Phone: 504-412-1488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPO7511
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP07511
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: