Individual provider · Type 1 NPI
Jakara Mouton
Gerontology Nurse Practitioner · Lafayette, LA
NPI number
1134092463
Active
Practice location
2810 Ambassador Caffery Pkwy Fl 6
Lafayette, LA 70506-5906
Mailing address
5224 75th St Ste D
Lubbock, TX 79424-2525
Other practice locations
- 443 King St, Jennings, LA 70546-7426 · (337) 275-1936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 243073 (LA) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1134092463
Jakara Mouton's National Provider Identifier is 1134092463, issued on Sep 24, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lafayette, LA. The record was last updated on Nov 20, 2025.