Healthcare Provider Details

I. General information

NPI: 1750216776
Provider Name (Legal Business Name): MELISSA CATER BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 CHERRYBARK LN
JENA LA
71342-4092
US

IV. Provider business mailing address

2118 CHERRYBARK LN
JENA LA
71342-4092
US

V. Phone/Fax

Practice location:
  • Phone: 318-316-6362
  • Fax:
Mailing address:
  • Phone: 318-316-6362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number210593
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: