IndividualActive
Jakara Mouton
NPI 1134092463 · Gerontology Nurse Practitioner · Lafayette, LA
Provider details
- NPI number
- 1134092463
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 243073 (LA)
Practice location
2810 Ambassador Caffery Pkwy Fl 6
Lafayette, LA 70506-5906
Phone: (337) 289-8180
Mailing address
5224 75th St Ste D
Lubbock, TX 79424-2525
Registry dates
- Enumerated
- 2025-09-24
- Last updated
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.