Alexis Jymeisha Anderson
Licensed Practical Nurse in Monroe, LA. Individual provider (NPI-1).
NPI number1407796402
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1407796402
- Entity type
- Individual (NPI-1)
- Name
- Alexis Jymeisha Anderson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2026
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 30004066 | LA | Yes |
Practice location
4201 Spurgeon DrMonroe, LA 71203-4521
Phone 318-582-3236
Mailing address
2604 Wildflower StMonroe, LA 71203-5567
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Licensed Practical Nurse providers in Monroe · All 4,700 providers in Monroe
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