person
Ms. Latayatacha O Freeman-ross, FNP
Family Nurse Practitioner in Tallulah, Louisiana
NPI 1184911349

Latayatacha O Freeman-ross is a Family Nurse Practitioner based in Tallulah, LA and is specialized in Family. Latayatacha O Freeman-ross practices in Tallulah, LA and has the professional credentials of FNP. The NPI Number for Latayatacha O Freeman-ross is 1184911349 and holds a License No. 009726-7269 (Louisiana).

The current practice location address for Latayatacha O Freeman-ross is 900 Johnson Street, Tallulah, LA and can be reached out via phone at 318-574-5080 and via fax at 318-574-5052. You can also correspond with Latayatacha O Freeman-ross through the mailing address at 900 JOHNSON STREET, TALLULAH, LA - 71282 (mailing address contact number: 318-574-5080).

Location: 900 Johnson Street, Tallulah, LA, 71282
person
Provider Profile Details
NPI Number
1184911349
Provider Name
Latayatacha O Freeman-ross
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
900 Johnson Street, Tallulah, LA, 71282
Phone Number
318-574-5080
Fax Number
318-574-5052
Provider Enumeration Date
07/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
233598 05 LA
institution
Provider Business Practice Location Address Details
Address
900 Johnson Street
City
State
Zip
71282
Phone Number
318-574-5080
Fax Number
318-574-5052
person
Provider Business Mailing Address Details
Address
900 Johnson Street
City
State
Zip
71282
Phone Number
318-574-5080
Fax Number
318-574-5052
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
009726-7269 (Louisiana)
Definition
Definition to come...
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