Provider Demographics
NPI:1710632526
Name:SCHEXNAYDER, KALI NICHOLSON (FNP-C)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:NICHOLSON
Last Name:SCHEXNAYDER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:
Other - Last Name:NICHOLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35067 COTTON DR
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-9787
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1665 HIGHWAY 3125 STE A&B
Practice Address - Street 2:
Practice Address - City:GRAMERCY
Practice Address - State:LA
Practice Address - Zip Code:70052-3554
Practice Address - Country:US
Practice Address - Phone:225-289-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA223911363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily