Provider Demographics
NPI:1932541885
Name:CARR, SHELITA SMITH (APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHELITA
Middle Name:SMITH
Last Name:CARR
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8321 LAFITTE CT STE 107
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4322
Mailing Address - Country:US
Mailing Address - Phone:504-756-8780
Mailing Address - Fax:
Practice Address - Street 1:8321 LAFITTE CT STE 107
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4322
Practice Address - Country:US
Practice Address - Phone:504-756-8780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07460363LP2300X
LA105175-7460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty