Provider Demographics
NPI:1275428427
Name:PELLERIN, CAROLINE MARGARET (PA-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MARGARET
Last Name:PELLERIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15437 OAKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-6288
Mailing Address - Country:US
Mailing Address - Phone:337-281-6368
Mailing Address - Fax:
Practice Address - Street 1:9001 SUMMA AVE STE 346
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3779
Practice Address - Country:US
Practice Address - Phone:225-515-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant