MS. Latrice Shonta Mallard, MAM, APRN, PMHNP-BC
MS. Latrice Shonta Mallard, MAM, APRN, PMHNP-BC is a Nurse Practitioner in Kentwood, Louisiana. Qualified in 2022, 4 years ago. Practices with Hiv-Aids Alliance for Region Two, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 4
- Licensed in
- LA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
721 Avenue GKentwood, LA 70444-2601
Phone: (225) 315-1357
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 711 Colonial Dr Ste D, Baton Rouge, LA 70806-6549 — (225) 246-2162
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 229471 (LA) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 117290 (LA) |
Record details
| NPI number | 1225565807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAM , APRN , PMHNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2017 |
| Last updated in NPPES | April 13, 2023 |
| Certification date | April 13, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Hiv-Aids Alliance For Region Two — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |