Healthcare Provider Details

I. General information

NPI: 1023787132
Provider Name (Legal Business Name): ASHONTIS KEYS FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHONTIS MARTIN KEYS FNP, PMHNP

II. Dates (important events)

Enumeration Date: 09/10/2021
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8923 BLUEBONNET BLVD
BATON ROUGE LA
70810-2814
US

IV. Provider business mailing address

8923 BLUEBONNET BLVD
BATON ROUGE LA
70810-2814
US

V. Phone/Fax

Practice location:
  • Phone: 225-766-4133
  • Fax:
Mailing address:
  • Phone: 225-766-4133
  • Fax: 225-766-4135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number221953
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number221953
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: