MS. LATRICE SHONTA MALLARD MAM APRN PMHNP-BC NPI 1225565807

NPI Information

NPI: 1225565807
Provider Name: MS. LATRICE SHONTA MALLARD, MAM, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
721 AVENUE G
KENTWOOD, LA
ZIP 70444
Phone: (225) 315-1357
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MS. Latrice Shonta Mallard, MAM, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Kentwood, LA. MS. Latrice Shonta Mallard, MAM, APRN, PMHNP-BC NPI is 1225565807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

721 AVENUE G
KENTWOOD, LA
ZIP 70444-601
Phone: (225) 315-1357

The enumeration date for this NPI number is 5/15/2017 and was last updated on 4/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	117290	LOUISIANA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	229471	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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