Individual provider · Type 1 NPI
Latrice Shonta Mallard, MAM, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Kentwood, LA
NPI number
1225565807
Active
Practice location
721 Avenue G
Kentwood, LA 70444-2601
Mailing address
PO Box 40984
Baton Rouge, LA 70835-0984
Other practice locations
- 711 Colonial Dr Ste D, Baton Rouge, LA 70806-6549 · (225) 246-2162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 117290 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 229471 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
8 other providers at this address
- Southeast Community Health SystemsFederally Qualified Health Center (FQHC) Kentwood, LA NPI 1558515676
- Southeast Community Health Systems Pharmacy KentwoodPharmacy Kentwood, LA NPI 1962042028
- Alton L. White, R. PHPharmacist Kentwood, LA NPI 1316746480
- Franke'a Danay BergeronFamily Nurse Practitioner Kentwood, LA NPI 1861335564
- Geneva Carter, FNPFamily Nurse Practitioner Kentwood, LA NPI 1245788587
- Jennifer St. Romain, CPNPPediatric Nurse Practitioner Kentwood, LA NPI 1376587014
- Kizzy Woods, NPFamily Nurse Practitioner Kentwood, LA NPI 1083176374
- Nikita PearlFamily Nurse Practitioner Kentwood, LA NPI 1093107310
Other psychiatric/mental health nurse practitioner providers in Kentwood
About NPI 1225565807
Latrice Shonta Mallard, MAM, APRN, PMHNP-BC's National Provider Identifier is 1225565807, issued on May 15, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kentwood, LA. The record was last updated on Sep 29, 2026.