Freeman-Ross, Latayatacha O

Freeman-Ross, Latayatacha O is an individual health care provider with primary practice located at 900 Johnson Street Suite A, Tallulah LA 71282. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Freeman-Ross, Latayatacha O can be contacted via phone (318) 574-5080.

Contact Information

Primary practice address
900 Johnson Street Suite A Tallulah LA 71282
Phone: (318) 574-5080
Fax: (318) 574-5052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 009726-7269 Louisiana

Profile Details

NPI number 1184911349
LBN Legal business name Freeman-Ross, Latayatacha O
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Apr 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184911349 NPPES
Louisiana MEDICAID 233598

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