Individual
MRS. LETARSHA ROULETTE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
(225) 683-1310
Mailing address
80 EDWARD WELLS LN, GREENSBURG, LA 70441-4081
(225) 405-5277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APO6289
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06289
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162748
—
LA
Enumeration date
07/11/2011
Last updated
05/07/2021
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