Healthcare Provider Details

I. General information

NPI: 1861339095
Provider Name (Legal Business Name): ALEXIS JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS COLEMAN

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 WELLERMAN RD
WEST MONROE LA
71291-7427
US

IV. Provider business mailing address

311 RIVER STYX DR
MONROE LA
71203-6317
US

V. Phone/Fax

Practice location:
  • Phone: 318-625-6250
  • Fax: 904-854-4878
Mailing address:
  • Phone: 769-572-2242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number241986
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: