| Doctor Name: | REBECCA ANN MELANCON |
| NPI Number: | 1013243104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 077705-03672 |
| Business Practice Address: | 8166 Main St Houma, LA - 703603404 |
| Business Phone Number: | 9858587300 |
| Business Fax Number: | |
| Mailing Address: | 412 Windward Dr, HOUMA |
| State: | LA |
| Postal Code: | 703605004 |
| Phone Number: | 9852268182 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2009 |
| NPI Last Update Date: | 10/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0005X |
| License Number: | 077705-03672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal, Critical Care |
| Taxonomy Definition: | |