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Ms. Latrice Shonta Mallard, MAM,APRN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Kentwood, Louisiana
NPI 1225565807

Latrice Shonta Mallard is a Psychiatric/Mental Health Nurse Practitioner based in Baton Rouge, LA and is specialized in Psychiatric/Mental Health. Latrice Shonta Mallard practices in Kentwood, LA and has the professional credentials of MAM,APRN,PMHNP-BC. The NPI Number for Latrice Shonta Mallard is 1225565807 and holds a License No. 117290 (Louisiana).

The current practice location address for Latrice Shonta Mallard is 721 Avenue G, Kentwood, LA and can be reached out via phone at 225-315-1357.

Location: 721 Avenue G, Kentwood, LA, 70835-0984
person
Provider Profile Details
NPI Number
1225565807
Provider Name
Latrice Shonta Mallard
Credential
MAM,APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
721 Avenue G, Kentwood, LA, 70835-0984
Phone Number
225-315-1357
Fax Number
Provider Enumeration Date
05/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
721 Avenue G
City
State
Zip
70444-2601
Phone Number
225-315-1357
Fax Number
person
Provider Business Mailing Address Details
Address
721 Avenue G
City
State
Zip
70444-2601
Phone Number
225-315-1357
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
229471 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
117290 (Louisiana)
Definition
Definition to come...
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