Provider Demographics
NPI:1598486722
Name:MEAUX, ALLISON (DNP, PMHNP-BC, RN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:MEAUX
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 SELBY AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1728
Mailing Address - Country:US
Mailing Address - Phone:612-208-3706
Mailing Address - Fax:833-450-5328
Practice Address - Street 1:541 SELBY AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1728
Practice Address - Country:US
Practice Address - Phone:612-208-3706
Practice Address - Fax:833-450-5328
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2493121163WP2201X
MN12539363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care