Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LATRICE SHONTA MALLARD, MAM, APRN, PMHNP-BC
Active Sole ProprietorMS. LATRICE SHONTA MALLARD, MAM, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in KENTWOOD, Louisiana. NPI 1225565807 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · KENTWOOD, LA
Registration Details
- NPI Number
- 1225565807
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2017 (9.2555776732055 yrs)
- Last Updated
- Apr 13, 2023
- Licenses
-
117290 (LA)229471 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
721 AVENUE GKENTWOOD, LA, 704442601Browse LA providers · Browse ZIP 70444
- Phone
- 2253151357
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in KENTWOOD, LA
| Name | Credential | NPI |
|---|---|---|
| MARY ALLISON HEATH SUTTON | PMHNP | 1316336993 |
| HEATHER WOODS | — | 1912665985 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.