Basic Information
| Provider Information | |||||||||
| NPI: | 1932541885 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARR | ||||||||
| FirstName: | SHELITA | ||||||||
| MiddleName: | SMITH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APRN FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8050 W JUDGE PEREZ DR | ||||||||
| Address2: | STE 2300 | ||||||||
| City: | CHALMETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700431734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048269655 | ||||||||
| FaxNumber: | 5048269656 | ||||||||
| Practice Location | |||||||||
| Address1: | 8050 W JUDGE PEREZ DR | ||||||||
| Address2: | STE 2300 | ||||||||
| City: | CHALMETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700431734 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048269655 | ||||||||
| FaxNumber: | 5048269656 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2013 | ||||||||
| LastUpdateDate: | 08/02/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 105175-7460 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.