IndividualActive
Alice Fanning, FNP
NPI 1235423658 · Family Nurse Practitioner · Haynesville, LA
Provider details
- NPI number
- 1235423658
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- TAP002540 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
926 Frances Dr
Haynesville, LA 71038-6100
Phone: (318) 624-0554
Fax: (318) 624-3782
Approximate (ZIP-level) locationGet directions
Mailing address
926 Frances Dr
Haynesville, LA 71038-6100
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2011-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.