Healthcare Provider Details

I. General information

NPI: 1245165547
Provider Name (Legal Business Name): MELISSA PREJEAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3264 LA HWY 343
MAURICE LA
70555-3139
US

IV. Provider business mailing address

3264 LA HWY 343
MAURICE LA
70555-3139
US

V. Phone/Fax

Practice location:
  • Phone: 337-366-1783
  • Fax:
Mailing address:
  • Phone: 337-366-1783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: