Provider Demographics
NPI:1891307385
Name:THE COMMUNITY NP LLC
Entity Type:Organization
Organization Name:THE COMMUNITY NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROYMELLE
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:318-547-3909
Mailing Address - Street 1:111 KIOWA ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-8565
Mailing Address - Country:US
Mailing Address - Phone:318-547-3909
Mailing Address - Fax:318-277-2452
Practice Address - Street 1:111 KIOWA ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-8565
Practice Address - Country:US
Practice Address - Phone:318-547-3909
Practice Address - Fax:318-277-2452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty