Provider Demographics
NPI:1447072095
Name:NORRIS, MELANIE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:MOUNT HERMON
Mailing Address - State:LA
Mailing Address - Zip Code:70450-0010
Mailing Address - Country:US
Mailing Address - Phone:985-298-8657
Mailing Address - Fax:985-202-8413
Practice Address - Street 1:809 BOAT RAMP RD
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3631
Practice Address - Country:US
Practice Address - Phone:985-298-8657
Practice Address - Fax:985-202-8413
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA118954163WC0200X
LA241504363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine