Provider Demographics
NPI:1396545604
Name:FLOYD, ALEXIS PAIGE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:PAIGE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 GREENE ROAD 438
Mailing Address - Street 2:
Mailing Address - City:MARMADUKE
Mailing Address - State:AR
Mailing Address - Zip Code:72443-9326
Mailing Address - Country:US
Mailing Address - Phone:870-323-3580
Mailing Address - Fax:
Practice Address - Street 1:645 GREENE ROAD 438
Practice Address - Street 2:
Practice Address - City:MARMADUKE
Practice Address - State:AR
Practice Address - Zip Code:72443-9326
Practice Address - Country:US
Practice Address - Phone:870-323-3580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR102839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse