Provider Demographics
NPI:1457083180
Name:HARPER, AALIYAH JADE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:AALIYAH
Middle Name:JADE
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18342 HIGHWAY 40
Mailing Address - Street 2:
Mailing Address - City:LORANGER
Mailing Address - State:LA
Mailing Address - Zip Code:70446-3421
Mailing Address - Country:US
Mailing Address - Phone:985-520-2320
Mailing Address - Fax:
Practice Address - Street 1:615 PRIDE DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-9523
Practice Address - Country:US
Practice Address - Phone:985-419-1666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA300001694164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse