Individual
MS. LATRICE SHONTA MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAM, APRN, PMHNP-BC
Contact information
Practice address
721 AVENUE G, KENTWOOD, LA 70444-2601
(225) 315-1357
Mailing address
PO BOX 40984, BATON ROUGE, LA 70835-0984
(225) 315-1357
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
117290
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
229471
LA
Other
Enumeration date
05/15/2017
Last updated
04/13/2023
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