Campbell, Letarsha Roulette

Campbell, Letarsha Roulette is an individual health care provider with primary practice located at 11990 Jackson St , Clinton LA 70722-3210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Campbell, Letarsha Roulette can be contacted via phone (225) 683-5292.

Contact Information

Primary practice address
11990 Jackson St Clinton LA 70722-3210
Phone: (225) 683-5292
Fax: (225) 683-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APO6289 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP06289 Louisiana

Profile Details

NPI number 1205124310
LBN Legal business name Campbell, Letarsha Roulette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated May 7th, 2021 - about 4 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 1205124310 NPPES
Louisiana MEDICAID 2162748

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