MR. JOHNATHAN THERON LARROQUETTE PMHNP NPI 1073060125

NPI Information

NPI: 1073060125
Provider Name: MR. JOHNATHAN THERON LARROQUETTE, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
202 GENERAL GARDNER AVE
LAFAYETTE, LA
ZIP 70501
Phone: (337) 232-9457
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MR. Johnathan Theron Larroquette, PMHNP is a psychiatric/mental health nurse practitioner in Lafayette, LA. MR. Johnathan Theron Larroquette, PMHNP NPI is 1073060125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

202 GENERAL GARDNER AVE
LAFAYETTE, LA
ZIP 70501-824
Phone: (337) 232-9457

The enumeration date for this NPI number is 9/7/2016 and was last updated on 3/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	234407	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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