Provider Demographics
NPI:1982319679
Name:CARLISLE, ELIZABETH D (FNP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:D
Last Name:CARLISLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 SOUTH DR
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5053
Mailing Address - Country:US
Mailing Address - Phone:318-352-0099
Mailing Address - Fax:318-352-1032
Practice Address - Street 1:366 SOUTH DR
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5053
Practice Address - Country:US
Practice Address - Phone:318-352-0099
Practice Address - Fax:318-352-1032
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAF01230125363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily