LATOSHA JACKSON MOLLETTE (NPI# 1821641374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821641374 |
| Entity Type | Individual |
| Full Name | LATOSHA JACKSON MOLLETTE |
| Credential | APRN |
| Practice Address |
103 Watts St Jonesboro LA 71251-2053 |
| Mailing Address |
135 Dawson St Dubach LA 71235-3201 |
| Practice Telephone | 3182591569 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
207211 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 WATTS ST |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043286230 | Dirk Timothy Rainwater | Emergency Medicine | 103 Watts St, Jonesboro, LA 71251-2053 | 2006-02-27 |
| 1417505413 | Elyse Mills | Nurse Practitioner | 103 Watts St, Jonesboro, LA 71251-2053 | 2019-09-03 |
| 1720528680 | Alison Creel | Nurse Practitioner | 103 Watts St, Jonesboro, LA 71251-2053 | 2017-02-27 |
| 1548629090 | Adam Lawson | Physician Assistant | 103 Watts St, Jonesboro, LA 71251-2053 | 2016-02-12 |
| 1326419789 | Mandy Katheryn Mcnamara | Physician Assistant | 103 Watts St, Jonesboro, LA 71251-2053 | 2015-10-12 |
| 1083094007 | Louisiana Family Medicine Clinic, Inc. | Non-Pharmacy Dispensing Site | 103 Watts St, Jonesboro, LA 71251-2053 | 2015-06-04 |
| 1548538200 | Louisiana Family Medicine Clinic 1 | Clinic/Center | 103 Watts St, Jonesboro, LA 71251-2053 | 2011-12-09 |
| 1699058354 | Quality Care Center | Nurse Practitioner | 103 Watts St, Jonesboro, LA 71251-2053 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| Find all providers in zip 71251 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1790397495 | Kbsolutions and Behavioral Support Services, LLC | Nurse Practitioner | 7265 Mount Zion Blvd Ste 1, Jonesboro, GA 30236-2519 | 2020-08-24 |
| 1568080646 | Maryam A Muhammad | Nurse Practitioner | 2388 Reeves Creek Rd, Jonesboro, GA 30236-7229 | 2020-07-06 |
| 1346864121 | Joy Brew | Nurse Practitioner | 8399 Members Dr, Jonesboro, GA 30236-4271 | 2020-06-08 |
| 1053932806 | Sabrina Nannettee Bowen | Nurse Practitioner | 5800 C W Post Rd, Jonesboro, AR 72401-9602 | 2020-05-04 |
| 1265993182 | Sara Ruth Johnson | Nurse Practitioner | 701 Windover Rd Ste 400, Jonesboro, AR 72401-6065 | 2019-03-26 |
| 1366927956 | Yolanda Louise Davis | Nurse Practitioner | 1706 Heather Ridge Dr, Jonesboro, AR 72401-3748 | 2018-09-28 |
| 1457867475 | Eucharia Udoka Obi | Nurse Practitioner | 9051 Jenni Cir, Jonesboro, GA 30238-6800 | 2017-12-28 |
| 1346752151 | Chanel Dominque Bullock | Nurse Practitioner | 1150 E Matthews Ave Ste 203, Jonesboro, AR 72401 | 2017-11-02 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.