Individual provider · NPI-1
Stacey Diane Alexander, MD
Emergency Medicine · Shreveport, LA
NPI number1649666405
StatusActive
Last updated in NPPESNov 5, 2026
Details
- NPI
- 1649666405
- Entity type
- Individual (NPI-1)
- Name
- Stacey Diane Alexander
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2015
- Certification date
- Nov 5, 2026
- Last updated
- Nov 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 308050 | LA | Yes |
Practice location
2510 Bert Koun LoopShreveport, LA 71118-3119
Phone 318-212-4000
Mailing address
939 Highway 171Stonewall, LA 71078-9595
Phone 318-925-8825
Other practice locations
1541 Kings Hwy
Shreveport, LA 71103-4228
Shreveport, LA 71103-4228
Phone 318-626-0050
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