Healthcare Provider Details

I. General information

NPI: 1912366873
Provider Name (Legal Business Name): CHANEL PREYAN MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 S CLAIBORNE AVE STE E
NEW ORLEANS LA
70125-3951
US

IV. Provider business mailing address

PO BOX 740012
ATLANTA GA
30374-0012
US

V. Phone/Fax

Practice location:
  • Phone: 504-534-1225
  • Fax:
Mailing address:
  • Phone: 773-352-1515
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP 08703
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: