| Ms Latrice Shonta Mallard, MAM, APRN, PMHNP-BC | |
|
721 Avenue G, Kentwood, LA 70444-2601 | |
| (225) 315-1357 | |
| Not Available |
| Full Name | Ms Latrice Shonta Mallard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 721 Avenue G, Kentwood, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225565807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 117290 (Louisiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 229471 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Latrice Shonta Mallard, MAM, APRN, PMHNP-BC Po Box 40984, Baton Rouge, LA 70835-0984 Ph: (225) 315-1357 | Ms Latrice Shonta Mallard, MAM, APRN, PMHNP-BC 721 Avenue G, Kentwood, LA 70444-2601 Ph: (225) 315-1357 |
Kizzy Woods, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 225-306-2003 | |
Nikita Pearl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 888-414-7247 | |
Geneva Carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 225-306-2100 | |
Christopher Clayton Givens, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 225-306-2100 Fax: 985-229-6828 | |
Dr. Kerneisha Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 719 Avenue G, Kentwood, LA 70444 Phone: 337-603-6364 Fax: 985-545-2009 | |
Jennifer St. Romain, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 721 Avenue G, Kentwood, LA 70444 Phone: 985-229-5501 Fax: 985-229-6828 | |
Bryan D. Tate Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 919 Avenue G, Kentwood, LA 70444 Phone: 985-229-0202 Fax: 985-229-2859 |