Healthcare Provider Details

I. General information

NPI: 1447072095
Provider Name (Legal Business Name): MELANIE NORRIS PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 06/10/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 BOAT RAMP RD
FRANKLINTON LA
70438-3631
US

IV. Provider business mailing address

PO BOX 10
MOUNT HERMON LA
70450-0010
US

V. Phone/Fax

Practice location:
  • Phone: 985-298-8657
  • Fax: 985-202-8413
Mailing address:
  • Phone: 985-298-8657
  • Fax: 985-202-8413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number241504
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number118954
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: