Provider Demographics
NPI:1053744516
Name:DOZIER, ALISE H (FNP)
Entity type:Individual
Prefix:MRS
First Name:ALISE
Middle Name:H
Last Name:DOZIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ALISE
Other - Middle Name:DEVONNE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:301 4TH ST STE 30105
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8420
Mailing Address - Country:US
Mailing Address - Phone:318-483-1961
Mailing Address - Fax:318-483-1964
Practice Address - Street 1:201 4TH ST STE 5A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8421
Practice Address - Country:US
Practice Address - Phone:318-483-1961
Practice Address - Fax:318-483-1964
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07530363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2347080Medicaid
LA2347080Medicaid