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Organization
CYPRESS HEALTH AND WELLNESS LLC
Active
Organization
CYPRESS HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIMIE VINCENT MELANCON FNP (MANAGER)
(337) 230-4645
Entity
Organization
Contact information
Practice address
327 IBERIA ST STE 3A, YOUNGSVILLE, LA 70592-6370
(337) 230-4645
Mailing address
327 IBERIA ST STE 3A, YOUNGSVILLE, LA 70592-6370
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2410849
—
LA
05
—
2422979
—
LA
Enumeration date
10/25/2021
Last updated
10/25/2021
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