Individual provider · NPI-1

Dedra Alexander, APRN

Nurse Practitioner, Psych/Mental Health · Lake Charles, LA

NPI number1033694955
StatusActive
Last updated in NPPESOct 14, 2026

Details

NPI
1033694955
Entity type
Individual (NPI-1)
Name
Dedra Alexander
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 26, 2018
Certification date
Oct 14, 2026
Last updated
Oct 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health213891LAYes
163WG0000X Registered Nurse, General PracticeRN097415LA
363LF0000X Nurse Practitioner, Family213891LA

Practice location

2000 Opelousas St
Lake Charles, LA 70601-2641

Phone 337-439-9983

Mailing address

2000 Opelousas St
Lake Charles, LA 70601-2641

Phone 337-439-9983 · Fax 337-439-8898

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