Provider Demographics
NPI:1851821326
Name:DUPRE, MEGAN ANN (NP-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANN
Last Name:DUPRE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:337-470-3075
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:4811 AMBASSADOR CAFFERY PKWY STE 305
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7266
Practice Address - Country:US
Practice Address - Phone:337-470-3075
Practice Address - Fax:337-470-3079
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily