# MELISSA BORDELON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386532471
- **Authorized official:** MELISSA M BORDELON NP (NP)
- **Authorized official phone:** (318) 715-6116

## Contact information

- **Practice address:** 5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
- **Practice address phone:** (318) 715-6116
- **Mailing address:** 1581 HIGHWAY 452, MARKSVILLE, LA 71351-3432
- **Mailing address phone:** (318) 715-6116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 06/26/2025