Provider Demographics
NPI:1336661164
Name:CARTER, BRIANNA DENAE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:DENAE
Last Name:CARTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:BRIANNA
Other - Middle Name:DENAE
Other - Last Name:AINSWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:6511 PINEBROOK TRCE
Mailing Address - Street 2:
Mailing Address - City:BALL
Mailing Address - State:LA
Mailing Address - Zip Code:71405-3138
Mailing Address - Country:US
Mailing Address - Phone:318-419-5158
Mailing Address - Fax:
Practice Address - Street 1:501 MEDICAL CENTER DR STE 250
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8124
Practice Address - Country:US
Practice Address - Phone:318-473-4613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09451363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily