Individual
FELICIA LATICE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-C, PMHNP-BC
Contact information
Practice address
7607 FERN AVE STE 501, SHREVEPORT, LA 71105-5743
(318) 588-8317
Mailing address
212 KANDILA TRL, SHREVEPORT, LA 71106-9700
(318) 294-4183
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP10118
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10118
LA
Other
Enumeration date
04/10/2019
Last updated
09/22/2025
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