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NPI Code Detail

MEDICARE: MRS. MELANIE EVON FLEMING FNP-BC

MEDICARE: MRS. MELANIE EVON FLEMING FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner220572LA
2363LF0000XFamily Nurse PractitionerAPRN9328939FL

General Provider Information

NPI Number : 1316417074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELANIE EVON FLEMING FNP-BC
Provider Business Mailing Address
First Line : 1541 KINGS HWY
Second Line : ATTN: PAYOR CREDENTIALING
City : SHREVEPORT
State : LA
Zip : 71103-4228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4864 JACKSON ST
Second Line :
City : MONROE
State : LA
Zip : 71202-6400
Country : US
Telephone Number : 318-330-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2018
Last Update Date : 06/16/2026

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Directions to “ MRS. MELANIE EVON FLEMING FNP-BC” Practice Location

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