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ALICE C BLUE APRN
NPI 1477986255
Nurse Practitioner - Family in Bossier City, LA

Active since August 15, 2013
800 CHINABERRY DRIVE, BOSSIER CITY, LA 71111(318) 349-6774 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Alice C Blue Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE C BLUE APRN (NPI 1477986255) is an individual family provider in Bossier City, Louisiana, licensed in Louisiana (AP07412) and active in the NPI registry since August 2013. She maintains a secondary practice location in Bossier City.

NPPES Registry Identity

NPI1477986255
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICE C BLUECredential: APRN
Location Address800 CHINABERRY DRIVEBossier City, LA 71111
Mailing Address800 Chinaberry DriveBossier City, LA 71111-2165 · (318) 734-9677
Phone(318) 349-6774
Sole ProprietorNo
Enumeration DateAugust 15, 2013
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1477986255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · AP07412
800 CHINABERRY DRIVE, Bossier City, LA 71111
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Secondary Practice Location 1

Location 15390 Barksdale Blvd Ste 200Bossier City, LA 71112-4526 · Phone (318) 747-8100 · Fax (318) 747-8150

Other Identifiers 1

Medicaid2462083LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Blue's NPI number?

The NPI number for Alice Blue is 1477986255. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Alice Blue located?

Alice Blue practices at 800 Chinaberry Drive, Bossier City, LA 71111. The listed phone number is (318) 349-6774.

What is Alice Blue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Alice Blue was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.