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
—
—
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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