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NPI Code Detail

MEDICARE: JARRYD MAYEAUX APRN

MEDICARE: JARRYD MAYEAUX APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner245466LA

General Provider Information

NPI Number : 1851243281
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARRYD MAYEAUX APRN
Provider Business Mailing Address
First Line : 14 GLADE ST
Second Line :
City : PINEVILLE
State : LA
Zip : 71360-4589
Country : US
Telephone Number : 337-378-9731
Fax Number :
Provider Business Practice Location Address
First Line : 44 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3960
Country : US
Telephone Number : 381-562-4988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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