Individual
MELISSA SUE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
139 AARON RD, WEST MONROE, LA 71292-3384
(318) 381-0295
Mailing address
139 AARON RD, WEST MONROE, LA 71292-3384
(318) 381-0295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213746
LA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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