Provider Demographics
NPI:1053209551
Name:PYLANT, ALEXANDRA (FNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:PYLANT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27136 HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:PORT SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70083-2602
Mailing Address - Country:US
Mailing Address - Phone:504-564-3344
Mailing Address - Fax:
Practice Address - Street 1:27136 HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:PORT SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70083-2602
Practice Address - Country:US
Practice Address - Phone:504-564-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA241552363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care