Individual
MRS. JAIMIE VINCENT MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
327 IBERIA ST STE 3A, YOUNGSVILLE, LA 70592-6370
(337) 450-3047
(337) 450-3050
Mailing address
327 IBERIA ST STE 3A, YOUNGSVILLE, LA 70592-6370
(337) 450-3047
(337) 450-3050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95063008
CA
163WE0003X
Emergency Registered Nurse
RN127314
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08605
LA
Other
Enumeration date
01/11/2016
Last updated
02/02/2022
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