IndividualActive
Alexandra Age, PMHNP
NPI 1679371215 · Psychiatric/Mental Health Nurse Practitioner · Clinton, LA
Provider details
- NPI number
- 1679371215
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 235118 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11990 Jackson St
Clinton, LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-1310
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 395
Clinton, LA 70722-0395
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.