Provider Demographics
NPI:1013975432
Name:ALEXANDER, JAMES DAREN (RN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAREN
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 BEAR KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:LA
Mailing Address - Zip Code:71268-4535
Mailing Address - Country:US
Mailing Address - Phone:318-259-3888
Mailing Address - Fax:
Practice Address - Street 1:4134 HIGHWAY 4
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:LA
Practice Address - Zip Code:71251-5369
Practice Address - Country:US
Practice Address - Phone:318-259-6624
Practice Address - Fax:318-259-4840
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA81118163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health