Melissa Aron Gillum, PA
Physician Assistant in Shreveport, LA. Individual provider (NPI-1).
NPI number1679587562
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1679587562
- Entity type
- Individual (NPI-1)
- Name
- Melissa Aron Gillum
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.A10382 | LA | Yes |
| 363AM0700X | Physician Assistant, Medical | PA10382RX | LA |
Practice location
1501 Kings HwyDepartment Of Emergency Medicine
Shreveport, LA 71103-4228
Phone 318-675-6632
Mailing address
1549 E 70th St Ste 300Shreveport, LA 71105-5056
Phone 318-300-3898 · Fax 318-797-4241
Other practice locations
1549 E 70th St Ste 300
Shreveport, LA 71105-5056
Shreveport, LA 71105-5056
Phone 318-300-3898 · Fax 318-797-4241
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