Individual provider · Type 1 NPI
Johnathan Theron Larroquette, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA
NPI number
1073060125
Active
Practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
107 Dumond Ln
Lafayette, LA 70503-5913
Other practice locations
- 202 General Gardner Ave, Lafayette, LA 70501-7824 · (337) 232-9457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 234407 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073060125
Johnathan Theron Larroquette, PMHNP's National Provider Identifier is 1073060125, issued on Sep 7, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Oct 9, 2024.