Individual
MRS. JAKARA MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 AMBASSADOR CAFFERY PKWY FL 6, LAFAYETTE, LA 70506-5906
(337) 289-8180
Mailing address
5224 75TH ST STE D, LUBBOCK, TX 79424-2525
(806) 712-1096
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
243073
LA
Other
Enumeration date
09/24/2025
Last updated
11/20/2025
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