Provider Demographics
NPI:1235746728
Name:HAMPTON, LAQUINTA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAQUINTA
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 218305
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77218-8305
Mailing Address - Country:US
Mailing Address - Phone:504-914-8490
Mailing Address - Fax:
Practice Address - Street 1:24949 KATY RANCH RD APT 1712
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7198
Practice Address - Country:US
Practice Address - Phone:504-914-8490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000898363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily