Individual
STORIE MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6330 MOURNING DOVE DR, BATON ROUGE, LA 70817-1155
(225) 761-8687
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP09381
LA
363LF0000X
Family Nurse Practitioner
AP09381
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006264148
DRIVER'S LICENSE
LA
01
—
AP09381
APRN LICENSE
LA
01
—
RN132519
RN LICENSE
LA
Enumeration date
07/12/2017
Last updated
06/05/2025
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