Provider Demographics
NPI:1376242628
Name:CARLISON, JOSHUA CHRISTOPHER (FNP)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:CHRISTOPHER
Last Name:CARLISON
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 FRANKLIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:WEYERS CAVE
Mailing Address - State:VA
Mailing Address - Zip Code:24486-2347
Mailing Address - Country:US
Mailing Address - Phone:540-234-0080
Mailing Address - Fax:
Practice Address - Street 1:54 FRANKLIN ST STE 104
Practice Address - Street 2:
Practice Address - City:WEYERS CAVE
Practice Address - State:VA
Practice Address - Zip Code:24486-2347
Practice Address - Country:US
Practice Address - Phone:540-234-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily