Provider Demographics
NPI:1568190783
Name:MCKERNAN, CARLYN FRANCKIEWICZ (DNP, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:CARLYN
Middle Name:FRANCKIEWICZ
Last Name:MCKERNAN
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:MS
Other - First Name:CARLYN
Other - Middle Name:HOTARD
Other - Last Name:FRANCKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, CPNP-PC
Mailing Address - Street 1:206 PINK ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3617
Mailing Address - Country:US
Mailing Address - Phone:985-445-8283
Mailing Address - Fax:
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5798
Practice Address - Country:US
Practice Address - Phone:504-899-9511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN154578163WP0200X
LA227209363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LARN154578OtherLOUISIANA STATE BOARD OF NURSING
LA227209OtherLOUISIANA STATE BOARD OF NURSING (CNP LICENSURE)