LISA BOUDREAUX MIMNAGH
NPI 1063950285
Nurse Practitioner - Psychiatric/Mental Health in Gray, LA

Active since February 08, 2017
151 GAINESVILLE DR, GRAY, LA 70359(985) 790-2568 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Boudreaux Mimnagh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA BOUDREAUX MIMNAGH (NPI 1063950285) is an individual psychiatric/mental health provider in Gray, Louisiana, licensed in Louisiana (AP09186) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1063950285
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA BOUDREAUX MIMNAGH
Location Address151 GAINESVILLE DRGray, LA 70359-4525
Mailing Address151 Gainesville DrGray, LA 70359-4525 · (985) 790-2568
Sole ProprietorYes
Enumeration DateFebruary 8, 2017
NPI 1063950285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in LA · AP09186
151 GAINESVILLE DR, Gray, LA 70359

Other Names 1

Former Name (1)Lisa Anne Boudreaux Aprn

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
151 GAINESVILLE DR
GRAY, LA 70359

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mimnagh's NPI number?

The NPI number for Lisa Mimnagh is 1063950285. It was assigned to this individual provider in the NPPES registry on February 8, 2017. The provider is also known as Lisa Anne Boudreaux Aprn.

Where is Lisa Mimnagh located?

Lisa Mimnagh practices at 151 Gainesville Dr, Gray, LA 70359. The listed phone number is (985) 790-2568.

What is Lisa Mimnagh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Lisa Mimnagh accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Lisa Mimnagh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Mimnagh was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.